Individual
DR. JOHN ANTHONY IATESTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
12000 SE VALLEY VIEW TER, CLACKAMAS, OR 97015-6737
(503) 348-8606
(503) 698-9933
Mailing address
12000 SE VALLEY VIEW TER, CLACKAMAS, OR 97015-6737
(503) 348-8606
(503) 698-9933
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
27 1817
OR
Other
Enumeration date
04/18/2007
Last updated
07/08/2007
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