Organization
LEAVITT CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDALL HUGH LEAVITT D.C. (OWNER)
(503) 816-2184
Entity
Organization
Contact information
Practice address
1706 NW GLISAN ST STE 5, PORTLAND, OR 97209-2225
(503) 228-5000
(503) 228-5019
Mailing address
1706 NW GLISAN ST STE 5, PORTLAND, OR 97209-2225
(503) 228-5000
(503) 228-5019
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
273413
OR
Other
Enumeration date
05/19/2008
Last updated
05/19/2008
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