# CHIROPRACTIC PHYSICIANS AND REHABILITATION PC

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

## Provider details

- **NPI number:** 1538684519
- **Authorized official:** SAMANTHA E STUART DC (OWNER)
- **Authorized official phone:** (503) 252-3560

## Contact information

- **Practice address:** 11657 NE GLISAN ST, PORTLAND, OR 97220-2264
- **Practice address phone:** (503) 252-3560
- **Practice address fax:** (503) 252-3199
- **Mailing address:** 11657 NE GLISAN ST, PORTLAND, OR 97220-2264
- **Mailing address phone:** (503) 252-3560
- **Mailing address fax:** (503) 252-3199

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | Yes |
| 111N00000X | Chiropractor | — | — | Yes |

## Other

- **Enumeration date:** 08/10/2017
- **Last updated:** 08/10/2017