Organization
BERTIK CHIROPRACTIC ENTERPRISES, LLC
Active
Other names
Portland Center for Spinal Correction
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARRY D SHULAK DC (CHIROPRACTIC PHYSICIAN/OWNER)
(503) 236-3766
Entity
Organization
Contact information
Practice address
222 SE 8TH AVE, PORTLAND, OR 97214-1206
(503) 236-3766
(503) 236-0014
Mailing address
222 SE 8TH AVE, PORTLAND, OR 97214-1206
(503) 236-3766
(503) 236-0014
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3716
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1649466780
NPI (FILED AS AN INDEPENDENT CONTRACTOR)
OR
Enumeration date
01/07/2009
Last updated
01/07/2009
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