Organization
VILLELA THERAPEUTIC CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LESLIE VILLELA (BUSINESS OWNER)
(503) 954-1167
Entity
Organization
Contact information
Practice address
11509 SW PACIFIC HWY, TIGARD, OR 97223-8669
(503) 954-1167
(503) 954-1251
Mailing address
11509 SW PACIFIC HWY, TIGARD, OR 97223-8669
(503) 954-1167
(503) 954-1251
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
25916
OR
Other
Enumeration date
09/04/2008
Last updated
11/06/2008
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