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Organization
BERNTSEN CHIROPRACTIC P C
Active
Organization
BERNTSEN CHIROPRACTIC P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE S BERNTSEN D.C. (PRESIDENT)
(503) 253-9957
Entity
Organization
Contact information
Practice address
336 NE 102ND AVE, PORTLAND, OR 97220-4107
(503) 253-9957
(503) 253-6309
Mailing address
336 NE 102ND AVE, PORTLAND, OR 97220-4107
(503) 253-9957
(503) 253-6309
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2399
OR
Other
Enumeration date
06/03/2009
Last updated
06/03/2009
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