Individual
JOOAE PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C
Contact information
Practice address
178 SW 2ND AVE, CANBY, OR 97013-4152
(503) 266-2997
Mailing address
2073 SW PARK AVE, APT. #123, PORTLAND, OR 97201-3122
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3861
OR
Other
Enumeration date
10/21/2008
Last updated
10/21/2008
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