Organization
POWER CHIROPRACTIC CLINIC
Active
Other names
Hickel Chiriopractic Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL WILLIAM HICKEL DC (OWNER)
(503) 786-7786
Entity
Organization
Contact information
Practice address
8305 SE MONTEREY AVE STE 104, HAPPY VALLEY, OR 97086-7728
(503) 786-7786
(503) 786-7191
Mailing address
8305 SE MONTEREY AVE STE 104, HAPPY VALLEY, OR 97086-7728
(503) 786-7786
(503) 786-7191
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
27 - 3057
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1023140969
NPI (TYPE1) 1023140969
OR
Enumeration date
08/08/2011
Last updated
08/08/2011
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