# MIND & BODY WELLNESS OF BEAVERTON

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

## Provider details

- **NPI number:** 1588131411
- **Authorized official:** DR. CHRISTOPHER KENT STEWART DC (CHIROPRACTIC PHYSICIAN)
- **Authorized official phone:** (503) 891-1389

## Contact information

- **Practice address:** 4545 SW ANGEL AVE APT 108, BEAVERTON, OR 97005-2717
- **Practice address phone:** (503) 891-1389
- **Mailing address:** 4545 SW ANGEL AVE APT 108, BEAVERTON, OR 97005-2717
- **Mailing address phone:** (503) 891-1389

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | Yes |
| 111N00000X | Chiropractor | — | — | Yes |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |

## Other

- **Enumeration date:** 10/29/2018
- **Last updated:** 10/29/2018