# STEVE M KINGSTON DC PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mt. Tabor Chiropractic Cente
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639367956
- **Authorized official:** DR. STEVE M KINGSTON DC (OWNER)
- **Authorized official phone:** (503) 236-1528

## Contact information

- **Practice address:** 4351 SE HAWTHORNE BLVD, PORTLAND, OR 97215-3162
- **Practice address phone:** (503) 236-1528
- **Practice address fax:** (503) 236-3701
- **Mailing address:** 4351 SE HAWTHORNE BLVD, PORTLAND, OR 97215-3162
- **Mailing address phone:** (503) 236-1528
- **Mailing address fax:** (503) 236-3701

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NN1001X | Nutrition Chiropractor | 2039 | OR | Yes |

## Other

- **Enumeration date:** 10/11/2007
- **Last updated:** 10/11/2007