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Individual

DR. GREG L. KIRCHEM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
948 NE 102ND AVE, SUITE 106, PORTLAND, OR 97220-4064
(503) 257-6036
Mailing address
948 NE 102ND AVE, SUITE 106, PORTLAND, OR 97220-4064
(503) 257-6036

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
27 1808
OR

Other

Enumeration date
10/17/2008
Last updated
10/17/2008
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