Individual
JESSE LAYNE NUTTALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
333 SE 223RD AVE STE 206, GRESHAM, OR 97030-7454
(503) 489-2992
Mailing address
333 SE 223RD AVE STE 206, GRESHAM, OR 97030-7454
(503) 489-2992
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
273624
OR
Other
Enumeration date
11/15/2006
Last updated
07/22/2013
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