Organization
JAN CORWIN, DC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAN CORWIN DC (OWNER)
(503) 230-0812
Entity
Organization
Contact information
Practice address
316 NE 28TH AVE, PORTLAND, OR 97232-3150
(503) 230-0812
Mailing address
316 NE 28TH AVE, PORTLAND, OR 97232-3150
(503) 230-0812
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
1658
OR
Other
Enumeration date
01/26/2012
Last updated
01/26/2012
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