Organization
MINT CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDDY MYDOUANGCHANH DC (OWNER)
(503) 516-5916
Entity
Organization
Contact information
Practice address
14115 SE DIVISION ST, PORTLAND, OR 97236-2628
(503) 841-6633
Mailing address
14115 SE DIVISION ST, PORTLAND, OR 97236-2628
(503) 841-6633
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
09/05/2025
Last updated
09/05/2025
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