Individual
JAMES MATLOCK STITES
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
12050 SE HOLGATE BLVD, PORTLAND, OR 97266-2160
(503) 760-8648
(503) 762-6890
Mailing address
PO BOX 90665, PORTLAND, OR 97290-0665
(503) 760-8648
(503) 762-6890
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
272684
OR
Other
Enumeration date
06/02/2006
Last updated
07/08/2007
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