Individual
DR. MATTHEW STEVEN BOETCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
19285 SW MARTINAZZI AVE, TUALATIN, OR 97062-6352
(651) 336-3150
Mailing address
12415 JERRY PATH, HASTINGS, MN 55033-9201
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
5891
OR
111NS0005X
Sports Physician Chiropractor
Primary
5891
OR
Other
Enumeration date
02/16/2018
Last updated
02/16/2018
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