Organization
120 CHIROPRACTIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HENRE JAMES ANDOSCA DC (PRESIDENT)
(413) 535-7643
Entity
Organization
Contact information
Practice address
1836 NE 7TH AVE STE 109, PORTLAND, OR 97212-3978
(503) 506-5120
(503) 506-5121
Mailing address
1836 NE 7TH AVE STE 109, PORTLAND, OR 97212-3978
(503) 506-5120
(503) 506-5121
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
07/21/2015
Last updated
12/29/2017
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