Organization
ADVANTAGE CHIROPRACTIC CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL THOMAS STUBBS (OWNER)
(503) 720-7098
Entity
Organization
Contact information
Practice address
9811 SE DIVISION ST, PORTLAND, OR 97266-1335
(503) 761-1631
Mailing address
PO BOX 1989, FAIRVIEW, OR 97024-1809
(503) 761-1631
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3821
OR
111N00000X
Chiropractor
3911
OR
Other
Enumeration date
04/20/2009
Last updated
04/26/2009
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