Individual
JUSTIN WADE DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3942 SE HAWTHORNE BLVD, PORTLAND, OR 97214-5242
(503) 235-5484
(503) 235-3956
Mailing address
2224 NE 142ND AVE, PORTLAND, OR 97230-3920
(503) 995-3874
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5589
OR
Other
Enumeration date
10/06/2014
Last updated
10/06/2014
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