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Organization
STUMPTOWN CHIROPRACTIC, LLC
Active
Organization
STUMPTOWN CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELISSA BARTOSZEWSKI DC (CHIROPRACTOR/OWNER)
(503) 893-8336
Entity
Organization
Contact information
Practice address
7232 N BURLINGTON AVE, PORTLAND, OR 97203-4817
(503) 893-8336
(503) 662-7324
Mailing address
7232 N BURLINGTON AVE, PORTLAND, OR 97203-4817
(503) 893-8336
(503) 662-7324
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5660
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1174896724
NPI
OR
01
—
1205312170
NPI TYPE 2
—
Enumeration date
07/13/2018
Last updated
10/23/2020
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