Organization
PHOENIX CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY DAVID MARRONE DC (OWNER)
(503) 281-4997
Entity
Organization
Contact information
Practice address
801 NE 28TH AVE, PORTLAND, OR 97232-2408
(503) 281-4997
Mailing address
801 NE 28TH AVE, PORTLAND, OR 97232-2408
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
3470
OR
Other
Enumeration date
02/05/2008
Last updated
05/26/2010
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