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Organization
PORTLAND MASSAGE AND CHIROPRACTIC SERVICES LLC
Active
Organization
PORTLAND MASSAGE AND CHIROPRACTIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY R. DOUGAL D.C. (CEO)
(503) 347-7668
Entity
Organization
Contact information
Practice address
7542 SW 35TH AVE, PORTLAND, OR 97219-1749
(503) 347-7668
Mailing address
7542 SW 35TH AVE, PORTLAND, OR 97219-1749
(503) 347-7668
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3680
OR
225700000X
Massage Therapist
13436
OR
Other
Enumeration date
07/25/2013
Last updated
07/25/2013
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