Organization
BLACKBIRD NATURAL HEALTH, LLC
Active
Other names
Blackbird Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BOBBY WAYNE JONES D.C. (PRESIDENT)
(503) 227-8700
Entity
Organization
Contact information
Practice address
4425 SW CORBETT AVE, LOWER LEVEL, PORTLAND, OR 97239-4260
(503) 227-8700
(503) 227-8702
Mailing address
4425 SW CORBETT AVE, LOWER LEVEL, PORTLAND, OR 97239-4260
(503) 227-8700
(503) 227-8702
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3597
OR
Other
Enumeration date
08/10/2011
Last updated
08/10/2011
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