Organization
ELITE CHIROPRACTIC AND MASSAGE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXI GUDISHVILI (MANAGER)
(646) 462-0407
Entity
Organization
Contact information
Practice address
1350 SE 122ND AVE, PORTLAND, OR 97233-1203
(503) 889-0906
(503) 894-9557
Mailing address
1350 SE 122ND AVE, PORTLAND, OR 97233-1203
(503) 889-0906
(503) 894-9557
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
08/31/2023
Last updated
08/31/2023
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