Organization
BLUE HERON CLINIC PC
Active
Other names
Blue Heron Chiropractic & Healing Arts Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANA SIBILLA DC (DIRECTOR)
(503) 280-9759
Entity
Organization
Contact information
Practice address
1934 NE BROADWAY ST, PORTLAND, OR 97232-1502
(503) 280-9759
(503) 280-9798
Mailing address
1934 NE BROADWAY ST, PORTLAND, OR 97232-1502
(503) 280-9759
(503) 280-9798
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
27-2971
OR
Other
Enumeration date
05/27/2008
Last updated
05/27/2008
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