Individual
MARIE NATHALIE FRANCE GRAVEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
4936 SW 60TH PL, APT #1, PORTLAND, OR 97221-1146
(503) 270-1693
Mailing address
4936 SW 60TH PL, APT #1, PORTLAND, OR 97221-1146
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5523
OR
Other
Enumeration date
02/05/2014
Last updated
02/05/2014
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