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Organization

PORTLAND CHIROPRACTIC GROUP INC

Active
Other names
Portland Chiropractic Group
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RANDY L HEWITT D.C., C.C.S.P. (DOCTOR OF CHIROPRACTIC/OWNER)
(503) 224-2100
Entity
Organization

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
111N00000X
Chiropractor
Primary
2343
OR
111NP0017X
Pediatric Chiropractor
27 2473
OR
171100000X
Acupuncturist
1527
OR
225700000X
Massage Therapist
7732
OR

Other

Enumeration date
04/16/2008
Last updated
01/06/2010
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