Organization
CONCUSSION & WHIPLASH CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JEANNIE FAY NELSON (ADMIN)
(503) 512-5359
Entity
Organization
Contact information
Practice address
7100 SW HAMPTON ST STE 121C, TIGARD, OR 97223-8390
(503) 512-5359
Mailing address
7100 SW HAMPTON ST STE 121C, TIGARD, OR 97223-8390
(503) 512-5359
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
1695
OR
Other
Enumeration date
01/13/2015
Last updated
01/13/2015
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