# PORTLAND CHIROPRACTIC CLINIC, INC.

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

## Provider details

- **NPI number:** 1568720217
- **Authorized official:** DR. SENH KEVIN CHANG D.C. (OWNER)
- **Authorized official phone:** (503) 255-0306

## Contact information

- **Practice address:** 10303 NE WEIDLER ST, PORTLAND, OR 97220-3882
- **Practice address phone:** (503) 255-0306
- **Practice address fax:** (503) 257-1452
- **Mailing address:** 10303 NE WEIDLER ST, PORTLAND, OR 97220-3882
- **Mailing address phone:** (503) 255-0306
- **Mailing address fax:** (503) 257-1452

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 3759 | OR | Yes |

## Other

- **Enumeration date:** 05/01/2012
- **Last updated:** 05/01/2012