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Organization
IBOLIT MANUAL MEDICINE PC.
Active
Organization
IBOLIT MANUAL MEDICINE PC.
Active
Other names
Ibolit Manual Medicine PC.
Organization subpart
No
Provider details
NPI number
Authorized official
LISA HOPE N/A (CLINIC MANAGER)
(971) 419-2066
Entity
Organization
Contact information
Practice address
18633 SE STARK ST STE 205, PORTLAND, OR 97233-5468
(503) 676-3131
(503) 676-3211
Mailing address
18633 SE STARK STREET. BLDG A, SUITE 314, GRESHAM, OR 98233
(971) 419-2066
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
225700000X
Massage Therapist
—
—
Other
Enumeration date
01/26/2023
Last updated
01/26/2023
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