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Organization
PORTLAND SPECIFIC CHIROPRACTIC, LLC
Active
Organization
PORTLAND SPECIFIC CHIROPRACTIC, LLC
Active
Other names
Portland Specific Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NIKOLAI ALLAN YOUNG DC (CLINIC DIRECTOR)
(503) 334-4545
Entity
Organization
Contact information
Practice address
5319 SW WESTGATE DR STE 126, PORTLAND, OR 97221-2430
(503) 334-4545
Mailing address
5319 SW WESTGATE DR STE 126, PORTLAND, OR 97221-2430
(503) 334-4545
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
05/24/2024
Last updated
05/24/2024
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