Organization
NEWBERG SPINE AND SPORT LLC
Active
Other names
Dundee Chiropractic Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD MOORE (OWNER)
(503) 538-9119
Entity
Organization
Contact information
Practice address
2504 PORTLAND RD STE A, NEWBERG, OR 97132-1971
(503) 538-9119
Mailing address
2504 PORTLAND RD STE A, NEWBERG, OR 97132-1971
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5127
OR
Other
Enumeration date
09/11/2017
Last updated
09/11/2017
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