Organization
ELITE UPPER CERVICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COREY DANIEL BURT DC (DIRECTOR)
(503) 597-8098
Entity
Organization
Contact information
Practice address
10200 SW EASTRIDGE ST STE 235, PORTLAND, OR 97225-5063
(503) 597-8098
(503) 597-8098
Mailing address
10200 SW EASTRIDGE ST STE 235, PORTLAND, OR 97225-5063
(503) 597-8098
(503) 597-8098
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
11/22/2019
Last updated
10/29/2023
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