Organization
BALANCE NW CHIROPRACTIC & MASSAGE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA PATENODE D.C (CHIROPRACTOR/OWNER)
(503) 352-4193
Entity
Organization
Contact information
Practice address
4690 SW HALL BLVD STE 110, BEAVERTON, OR 97005-0562
(503) 352-4193
Mailing address
4690 SW HALL BLVD STE 110, BEAVERTON, OR 97005-0562
(503) 352-4193
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3330
OR
Other
Enumeration date
02/11/2013
Last updated
02/11/2013
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