Organization
LISA JEWELL DC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA JEWELL DC (OWNER)
(503) 224-5010
Entity
Organization
Contact information
Practice address
510 SW 3RD AVE STE 210, PORTLAND, OR 97204-2507
(503) 224-5010
Mailing address
510 SW 3RD AVE STE 210, PORTLAND, OR 97204-2507
(503) 224-5010
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
5655
OR
Other
Enumeration date
12/18/2017
Last updated
12/18/2017
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