Organization
C AND C CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA ESTELA MANDUJANO (OFFICE MANAGER)
(503) 617-0906
Entity
Organization
Contact information
Practice address
17200 NW CORRIDOR CT, SUITE 100, BEAVERTON, OR 97006-3295
(503) 617-0906
(503) 617-0949
Mailing address
17200 NW CORRIDOR CT, SUITE 100, BEAVERTON, OR 97006-3295
(503) 617-0906
(503) 617-0949
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3215
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043381593
INDIVIDUAL NPI
OR
Enumeration date
08/16/2011
Last updated
08/16/2011
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