Individual
SOPHIE ERIN KAPLAN MUTCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1744 SE HAWTHORNE BLVD, PORTLAND, OR 97214-3723
(503) 432-1061
Mailing address
4519 SE 100TH AVE, PORTLAND, OR 97266-2623
(541) 971-1988
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6275
OR
Other
Enumeration date
01/04/2023
Last updated
01/04/2023
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