Organization
NWMC CHIROPRACTIC AND MASSAGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALEXI GUDISHVILI (MANAGER)
(646) 462-0407
Entity
Organization
Contact information
Practice address
10247 NE CLACKAMAS ST, PORTLAND, OR 97220-3915
(503) 206-6078
Mailing address
10247 NE CLACKAMAS ST, PORTLAND, OR 97220-3915
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3923
OR
Other
Enumeration date
09/23/2014
Last updated
10/23/2014
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