Individual
ELLIOTT JOEL MANTELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2927 NE EVERETT ST, PORTLAND, OR 97232-3248
(503) 232-4099
Mailing address
2927 NE EVERETT ST, PORTLAND, OR 97232-3248
(503) 232-4099
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1631
OR
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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