Individual
DR. PATRICK IABONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C., B.SC.
Contact information
Practice address
1609 WILLAMETTE FALLS DR, WEST LINN, OR 97068-4544
(503) 656-1943
(503) 650-5808
Mailing address
1609 WILLAMETTE FALLS DR, WEST LINN, OR 97068-4544
(503) 656-1943
(503) 650-5808
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
71-3327
OR
111NS0005X
Sports Physician Chiropractor
Primary
71-3327
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
297980
—
OR
Enumeration date
11/12/2006
Last updated
05/08/2008
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