Individual
EMILY MIDDLETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
16677 NE RUSSELL ST APT 153, PORTLAND, OR 97230-5966
(620) 496-5425
Mailing address
16677 NE RUSSELL ST APT 153, PORTLAND, OR 97230-5966
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5685
OR
Other
Enumeration date
12/01/2015
Last updated
12/01/2015
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