Organization
BEWELL CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANELLE MINSON (OFFICE MANAGER)
(503) 431-2388
Entity
Organization
Contact information
Practice address
12395 SW 68TH AVE, TIGARD, OR 97223-8508
(503) 431-2388
(503) 431-6733
Mailing address
12395 SW 68TH AVE, TIGARD, OR 97223-8508
(503) 431-2388
(503) 431-6733
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
OR
Other
Enumeration date
08/24/2012
Last updated
08/27/2012
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