Individual
COEASE SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2907 NE SKIDMORE ST, PORTLAND, OR 97211-7169
(503) 287-8579
Mailing address
2907 NE SKIDMORE ST, PORTLAND, OR 97211-7169
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2044
OR
Other
Enumeration date
01/18/2012
Last updated
01/18/2012
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