Organization
KHALSA PAIN RELIEF CLINIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY WONG (FINANCE /RECORD MANAGER)
(503) 238-1032
Entity
Organization
Contact information
Practice address
5013 SE HAWTHORNE BLVD, PORTLAND, OR 97215-3255
(503) 238-1032
(503) 233-1916
Mailing address
5013 SE HAWTHORNE BLVD, PORTLAND, OR 97215-3255
(503) 238-1032
(503) 233-1916
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1809
OR
Other
Enumeration date
02/03/2009
Last updated
02/03/2009
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