# BEWELL CHIROPRACTIC, LLC

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

## Provider details

- **NPI number:** 1568710531
- **Authorized official:** JANELLE MINSON (OFFICE MANAGER)
- **Authorized official phone:** (503) 431-2388

## Contact information

- **Practice address:** 12395 SW 68TH AVE, TIGARD, OR 97223-8508
- **Practice address phone:** (503) 431-2388
- **Practice address fax:** (503) 431-6733
- **Mailing address:** 12395 SW 68TH AVE, TIGARD, OR 97223-8508
- **Mailing address phone:** (503) 431-2388
- **Mailing address fax:** (503) 431-6733

## Taxonomy

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

## Other

- **Enumeration date:** 08/24/2012
- **Last updated:** 08/27/2012