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Organization
TERRY YCASAS, DC, LLC
Active
Organization
TERRY YCASAS, DC, LLC
Active
Parent organization
TERRY YCASAS, DC, LLC
Other names
Optimal Health Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
TERRY YCASAS, DC, LLC
Authorized official
DR. TERRY YCASAS DC (OWNER)
(503) 866-4680
Entity
Organization
Contact information
Practice address
716 SE 11TH AVE, PORTLAND, OR 97214-2469
(503) 866-4680
Mailing address
716 SE 11TH AVE, PORTLAND, OR 97214-2469
(503) 866-4680
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
133N00000X
Nutritionist
—
—
171100000X
Acupuncturist
—
—
175F00000X
Naturopath
—
—
Other
Enumeration date
03/30/2022
Last updated
03/30/2022
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