Organization
HEALTH BARON LLC
Active
Other names
Portland Chiropractic Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRETT R WEAVER DC (CLINIC DIRECTOR)
(405) 724-8980
Entity
Organization
Contact information
Practice address
5416 N PORTLAND AVE, OKLAHOMA CITY, OK 73112-2072
(405) 724-8980
Mailing address
5416 N PORTLAND AVE, OKLAHOMA CITY, OK 73112-2072
(405) 724-8980
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
03/15/2024
Last updated
03/15/2024
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