Organization
WISE CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS ALEXANDER WISE D.C. (OWNER)
(971) 864-1972
Entity
Organization
Contact information
Practice address
522 NW 12TH AVE, PORTLAND, OR 97209-3001
(503) 227-2886
(503) 790-1004
Mailing address
522 NW 12TH AVE, PORTLAND, OR 97209-3001
(503) 227-2886
(503) 790-1004
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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