Organization
OVERVOLD CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER MICHAEL OVERVOLD DC (OWNER)
(503) 282-7581
Entity
Organization
Contact information
Practice address
2106 NE 47TH AVE, PORTLAND, OR 97213-2064
(503) 282-7581
(503) 282-7581
Mailing address
2106 NE 47TH AVE, PORTLAND, OR 97213-2064
(503) 282-7581
(503) 282-7581
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1540
OR
Other
Enumeration date
09/22/2011
Last updated
09/22/2011
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