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Organization

PORTLAND SPECIFIC CHIROPRACTIC, LLC

Active
Other names
Portland Specific Chiropractic
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NIKOLAI ALLAN YOUNG DC (CLINIC DIRECTOR)
(503) 334-4545
Entity
Organization

Contact information

Practice address
5319 SW WESTGATE DR STE 126, PORTLAND, OR 97221-2430
(503) 334-4545
Mailing address
5319 SW WESTGATE DR STE 126, PORTLAND, OR 97221-2430
(503) 334-4545

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary

Other

Enumeration date
05/24/2024
Last updated
05/24/2024
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