Individual
MS. AMY NICOLE FAYE LESLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
111 SW COLUMBIA ST, SUITE 100 BLYSS CHIROPRACTIC, PORTLAND, OR 97201
(503) 222-0551
Mailing address
104 NE HANCOCK ST, PORTLAND, OR 97212-3937
(503) 568-2650
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5141
OR
Other
Enumeration date
04/03/2013
Last updated
04/25/2014
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