Organization
GREGG CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEAN PATRICK GREGG D.C (OWNER/CHIROPRACTOR)
(503) 225-9033
Entity
Organization
Contact information
Practice address
4425 SW CORBETT AVE, PORTLAND, OR 97239-4260
(503) 225-9033
Mailing address
4425 SW CORBETT AVE, PORTLAND, OR 97239-4260
(503) 225-9033
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
4055
OR
Other
Enumeration date
08/02/2012
Last updated
08/02/2012
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