Organization
BEAUMONT CHIROPRACTIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANK M PRIDEAUX D.C. (OWNER)
(503) 287-6666
Entity
Organization
Contact information
Practice address
4211 NE FREMONT ST, PORTLAND, OR 97213-1149
(503) 287-6666
(503) 287-1390
Mailing address
4211 NE FREMONT ST, PORTLAND, OR 97213-1149
(503) 287-6666
(503) 287-1390
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
271448
OR
Other
Enumeration date
09/14/2011
Last updated
09/14/2011
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