# EBENSTEINER CHIROPRACTIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487058764
- **Authorized official:** DR. PAUL EBENSTEINER (PRESIDENT)
- **Authorized official phone:** (503) 593-8800

## Contact information

- **Practice address:** 4111 NE TILLAMOOK ST, PORTLAND, OR 97212-5342
- **Practice address phone:** (503) 281-3400
- **Practice address fax:** (503) 287-3787
- **Mailing address:** 4111 NE TILLAMOOK ST, PORTLAND, OR 97212-5342
- **Mailing address phone:** (503) 281-3400
- **Mailing address fax:** (503) 287-3787

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | 5583 | OR | Yes |

## Other

- **Enumeration date:** 10/16/2014
- **Last updated:** 03/12/2015