Organization
PORTLAND OPTIMAL WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AARON DAVISON DC (OWNER)
(503) 686-4448
Entity
Organization
Contact information
Practice address
14511 WESTLAKE DR STE 148, LAKE OSWEGO, OR 97035-7773
(503) 941-5351
Mailing address
14511 WESTLAKE DR STE 148, LAKE OSWEGO, OR 97035-7773
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4036
OR
Other
Enumeration date
08/08/2017
Last updated
08/08/2017
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