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Organization
LIVE WELL CHIROPRACTIC
Active
Organization
LIVE WELL CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN EDMONDS (OWNER)
(503) 342-2719
Entity
Organization
Contact information
Practice address
20229 HIGHWAY 213, OREGON CITY, OR 97045-9069
(503) 342-2719
(503) 305-3263
Mailing address
20229 HIGHWAY 213, OREGON CITY, OR 97045-9069
(503) 342-2719
(503) 305-3263
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3698
OR
Other
Enumeration date
01/23/2013
Last updated
01/23/2013
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