Organization
NWMC CHIROPRACTIC CARE LLC
Active
Parent organization
NWMC CHIROPRACTIC AND MASSAGE LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
NWMC CHIROPRACTIC AND MASSAGE LLC
Authorized official
ALEXI GUDISHVILI (MANAGER)
(646) 462-0407
Entity
Organization
Contact information
Practice address
1350 SE 122ND AVE, PORTLAND, OR 97233-1203
(503) 889-0906
(503) 894-9557
Mailing address
1350 SE 122ND AVE, PORTLAND, OR 97233-1203
(503) 509-4840
(503) 894-9557
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3923
OR
Other
Enumeration date
04/06/2018
Last updated
04/06/2018
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