Organization
FOREST GROVE CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS PACE D.C. (OWNER)
(503) 357-4441
Entity
Organization
Contact information
Practice address
3201 19TH AVE STE A, FOREST GROVE, OR 97116-1911
(503) 357-4441
(503) 359-7941
Mailing address
3201 19TH AVE STE A, FOREST GROVE, OR 97116-1911
(503) 357-4441
(503) 359-7941
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3142
OR
Other
Enumeration date
09/17/2015
Last updated
09/17/2015
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