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Organization
POWER CHIROPRACTIC CLINIC
Active
Organization
POWER CHIROPRACTIC CLINIC
Active
Other names
Hickel Chiriopractic Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL WILLIAM HICKEL DC (OWNER)
(503) 786-7786
Entity
Organization
Contact information
Practice address
8305 SE MONTEREY AVE STE 104, HAPPY VALLEY, OR 97086-7728
(503) 786-7786
(503) 786-7191
Mailing address
8305 SE MONTEREY AVE STE 104, HAPPY VALLEY, OR 97086-7728
(503) 786-7786
(503) 786-7191
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
27 - 3057
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1023140969
NPI (TYPE1) 1023140969
OR
Enumeration date
08/08/2011
Last updated
08/08/2011
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