Organization
PETROTTA CHIROPRACTIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEBORAH A PETROTTA D.C. (OWNER/PROVIDER)
(503) 625-4054
Entity
Organization
Contact information
Practice address
22021 SW SHERWOOD BLVD, SHERWOOD, OR 97140-9327
(503) 625-4054
Mailing address
PO BOX 1483, SHERWOOD, OR 97140-1483
(503) 625-4054
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2963
OR
Other
Enumeration date
02/04/2009
Last updated
02/04/2009
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