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Organization
HUBBARD CHIROPRACTIC CLINIC, LLC
Active
Organization
HUBBARD CHIROPRACTIC CLINIC, LLC
Active
Other names
Hubbard Chiropractic Clinic, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLY LEONARD HUBBARD DC (OWNER/SOLE MEMBER/CHIROPRACTOR)
(503) 297-1174
Entity
Organization
Contact information
Practice address
10224 SW PARK WAY STE A, PORTLAND, OR 97225-5010
(503) 297-1174
(503) 297-2623
Mailing address
PO BOX 1147, SHERWOOD, OR 97140-1147
(503) 297-1174
(503) 297-2623
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
09/28/2022
Last updated
09/28/2022
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