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Organization
BLUE ATLAS CHIROPRACTIC LLC
Active
Organization
BLUE ATLAS CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATE HEROLD DC (OWNER/CHIROPRACTOR)
(503) 837-2225
Entity
Organization
Contact information
Practice address
9315 SW MORRISON ST, PORTLAND, OR 97225-6830
(503) 837-2225
(503) 961-1225
Mailing address
9315 SW MORRISON ST, PORTLAND, OR 97225-6830
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1316303951
INDIVIDUAL
—
Enumeration date
04/29/2024
Last updated
04/29/2024
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