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Organization

EVERGREEN CHIROPRACTIC PC

Active
Other names
Evergreen Chiropractic
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL JARED MANNS DC (CHIROPRACTOR/OWNER)
(503) 912-1156
Entity
Organization

Contact information

Practice address
657 NE HOOD AVE, GRESHAM, OR 97030-7328
(503) 912-1156
(971) 292-2932
Mailing address
5920 BURMA RD, LAKE OSWEGO, OR 97035-3240
(971) 330-8017

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary

Other

Enumeration date
09/24/2020
Last updated
03/05/2021
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