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Organization

WILLAMETTE FALLS CHIROPRACTIC CLINIC, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PATRICK IABONI D.C., B.SC. (DOCTOR)
(503) 656-1943
Entity
Organization

Contact information

Practice address
1609 WILLAMETTE FALLS DR, WEST LINN, OR 97068-4544
(503) 656-1943
(503) 650-5808
Mailing address
1609 WILLAMETTE FALLS DR, WEST LINN, OR 97068-4544
(503) 656-1943
(503) 650-5808

Taxonomy

Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
713327
OR
111NS0005X
Sports Physician Chiropractor
713327
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
297980
OR
Enumeration date
05/08/2008
Last updated
05/08/2008
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