Individual
DR. LISA JEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
319 SW WASHINGTON ST STE 1001, PORTLAND, OR 97204-2615
(503) 224-5010
Mailing address
2425 SE PINE ST, PORTLAND, OR 97214-1735
(920) 216-2958
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5655
OR
Other
Enumeration date
07/09/2015
Last updated
07/09/2015
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