Organization
JUDITH BOOTHBY MS DC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUDITH W BOOTHBY DC (CHIROPRACTOR)
(503) 233-0943
Entity
Organization
Contact information
Practice address
1620 SE ANKENY ST, PORTLAND, OR 97214-1448
(503) 233-0943
(503) 233-0943
Mailing address
1620 SE ANKENY ST, PORTLAND, OR 97214-1448
(503) 233-0943
(503) 233-0943
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
29906
OR
Other
Enumeration date
09/22/2010
Last updated
09/22/2010
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