Organization
AGILE CHIROPRACTIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAYLENE LEWIS D.C. (OWNER)
(503) 621-7919
Entity
Organization
Contact information
Practice address
1895 NW 188TH AVE, HILLSBORO, OR 97006-6485
(503) 718-7161
(503) 268-1691
Mailing address
1481 NE ZACHARY ST, HILLSBORO, OR 97124-4058
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
3354
OR
Other
Enumeration date
05/29/2012
Last updated
05/29/2012
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