Organization
BRIDGETON CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIA EVELYN WILBER DC (OWNER/MANAGER)
(971) 255-1708
Entity
Organization
Contact information
Practice address
10350 N VANCOUVER WAY # 92, PORTLAND, OR 97217-7530
(971) 255-1708
(971) 255-0865
Mailing address
10350 N VANCOUVER WAY, PORTLAND, OR 97217-7530
(971) 255-1708
(971) 255-0865
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
5143
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801239884
—
OR
Enumeration date
07/15/2015
Last updated
07/15/2015
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