Individual
DR. THEODORE L FORCUM III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3990 ABBEY LANE, B-102, ASTORIA, OR 97103
(503) 816-6581
Mailing address
10139 NW SKYLINE HEIGHTS DRIVE, PORTLAND, OR 97229-2641
(503) 816-6581
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
272468
OR
Other
Enumeration date
05/05/2006
Last updated
03/09/2017
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