Organization
KC SNELLGROVE
Active
Other names
Eastside Chiropractic Center
Organization subpart
No
Provider details
NPI number
Authorized official
KC SNELLGROVE D.C. (OWNER)
(503) 232-7460
Entity
Organization
Contact information
Practice address
1359 NE 35TH AVE, PORTLAND, OR 97232-1941
(503) 232-7460
(503) 232-0203
Mailing address
1359 NE 35TH AVE, PORTLAND, OR 97232-1941
(503) 232-7460
(503) 232-0203
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
27 1956
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1033217609
INDIVIDUAL NPI #
OR
Enumeration date
04/17/2007
Last updated
08/22/2020
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