Individual
TAYLOR JUSTINE MOHR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13112 NE HALSEY ST, PORTLAND, OR 97230-2350
(503) 252-3952
Mailing address
10314 NE THOMPSON ST, PORTLAND, OR 97220-3749
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
023266
OR
Other
Enumeration date
05/22/2017
Last updated
05/22/2017
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