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Organization
PORTLAND CHIROPRACTIC CENTER, LTD.
Active
Organization
PORTLAND CHIROPRACTIC CENTER, LTD.
Active
Other names
Adobe Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN E HAWKINS (OFFICE MANAGER)
(361) 813-6238
Entity
Organization
Contact information
Practice address
4535 SOUTH PADRE ISLAND DRIVE, STE. 12, CORPUS CHRISTI, TX 78411-4436
(361) 854-7748
(361) 356-3975
Mailing address
4535 SOUTH PADRE ISLAND DRIVE, STE. 12, CORPUS CHRISTI, TX 78411-4436
(361) 854-7748
(361) 356-3975
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
9414
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0059NJ
BCBS
TX
Enumeration date
02/22/2007
Last updated
03/30/2012
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