Organization
CENTRO CHIROPRACTIC CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID L JUNKIN I DC (OWNER)
(503) 601-0210
Entity
Organization
Contact information
Practice address
1075 SE BASELINE ST, SUITE O, HILLSBORO, OR 97123-4394
(503) 601-0210
(503) 601-0551
Mailing address
1075 SE BASELINE ST, SUITE O, HILLSBORO, OR 97123-4394
(503) 601-0210
(503) 601-0551
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3709
OR
Other
Enumeration date
05/20/2010
Last updated
05/20/2010
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