Individual
JOHN MICHAEL PELLERIN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.T.
Contact information
Practice address
21887 SW SHERWOOD BLVD STE A, SHERWOOD, OR 97140-9412
(503) 625-0500
(503) 625-0119
Mailing address
21887 SW SHERWOOD BLVD STE A, SHERWOOD, OR 97140-9412
(503) 625-0500
(503) 625-0119
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
17829
OR
Other
Enumeration date
12/12/2012
Last updated
12/12/2012
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