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Individual

DR. DOUGLAS ROSS PORTMANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
550 WARDS CORNER RD, SUITE 101, LOVELAND, OH 45140-6148
(513) 677-6787
(513) 677-2260
Mailing address
6321 PINE COVE LN, LOVELAND, OH 45140-5801
(513) 697-0824

Taxonomy

Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
2141
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0136043
OH
Enumeration date
07/12/2006
Last updated
07/09/2007
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