Individual
JOSEPH AARON WISDOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2850 SE 82ND AVE UNIT 10, PORTLAND, OR 97266-1599
(503) 777-3000
Mailing address
3132 SW MARIGOLD ST APT 12, PORTLAND, OR 97219-5381
(714) 200-6027
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6212
OR
Other
Enumeration date
03/21/2022
Last updated
03/21/2022
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