Individual
DR. MICHAEL LELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4816 SE SHERMAN ST, PORTLAND, OR 97215-3849
(337) 654-0280
Mailing address
4816 SE SHERMAN ST, PORTLAND, OR 97215-3849
(337) 654-0280
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5607
OR
Other
Enumeration date
01/13/2015
Last updated
01/13/2015
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