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Individual

DR. RANDY LEE HEWITT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
2031 E BURNSIDE ST, PORTLAND, OR 97214-1649
(503) 224-2100
(503) 224-2129
Mailing address
2031 E BURNSIDE ST, PORTLAND, OR 97214-1649
(503) 224-2100
(503) 224-2129

Taxonomy

Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
272343
OR

Other

Enumeration date
10/12/2006
Last updated
07/08/2007
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