Individual
LILY HOOG-FRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
38953 PIONEER BLVD, SANDY, OR 97055-8080
(503) 954-3676
Mailing address
1615 N JANTZEN AVE, PORTLAND, OR 97217-7822
(775) 813-3184
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6330
OR
Other
Enumeration date
10/04/2023
Last updated
10/04/2023
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