Individual
MICHAEL MOTTMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
819 SE MORRISON ST, PORTLAND, OR 97214-6307
(503) 956-9396
Mailing address
2138 SE 76TH AVE, PORTLAND, OR 97215-4104
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5930
OR
Other
Enumeration date
11/15/2018
Last updated
11/15/2018
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