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Organization
HARTWIG CHIROPRACTIC, LLC
Active
Organization
HARTWIG CHIROPRACTIC, LLC
Active
Other names
Marcum Chiropractic Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JODE ANN JOY PETERSON (ADMINISTRATOR)
(503) 235-7130
Entity
Organization
Contact information
Practice address
4310 N INTERSTATE AVE, PORTLAND, OR 97217
(503) 235-7130
(503) 235-7134
Mailing address
4310 N INTERSTATE AVE, PORTLAND, OR 97217-3211
(503) 235-7130
(503) 235-7134
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
261QR0400X
Rehabilitation Clinic/Center
Primary
3827
OR
Other
Enumeration date
02/16/2011
Last updated
07/17/2018
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