Individual
DR. KELLY YAKIWCHUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
12615 NE HALSEY ST, PORTLAND, OR 97230-1930
(971) 377-1717
Mailing address
6116 SE STEELE ST, PORTLAND, OR 97206-5459
(971) 500-6967
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3347
OR
Other
Enumeration date
03/30/2007
Last updated
10/18/2023
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