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Individual

KARL IVO POUL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
1205 WASHINGTON ST, OREGON CITY, OR 97045
(503) 557-2225
(503) 557-2080
Mailing address
PO BOX 1382, 1205 WASHINGTON ST, OREGON CITY, OR 97045
(503) 557-2225
(503) 557-2080

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1959
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10858
OR
Enumeration date
01/03/2007
Last updated
07/08/2007
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