Individual
DR. JUSTIN RYAN JELEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
15962 BOONES FERRY RD STE 202, LAKE OSWEGO, OR 97035-4360
(503) 305-6585
(503) 344-6033
Mailing address
15962 BOONES FERRY RD STE 202, LAKE OSWEGO, OR 97035-4360
(503) 305-6585
(503) 344-6033
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
5018
OR
Other
Enumeration date
11/22/2011
Last updated
02/05/2020
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