Organization
PROLIFIC WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONY TRAN DC, MS, CCSP (CHIROPRACTIC PHYSICIAN)
(503) 877-3199
Entity
Organization
Contact information
Practice address
4850 SW SCHOLLS FERRY RD STE 202, PORTLAND, OR 97225-1692
(503) 877-3199
(503) 212-9799
Mailing address
375 SE 69TH AVE, HILLSBORO, OR 97123-3507
(503) 334-8375
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5782
BOARD LICENSE
OR
Enumeration date
03/26/2020
Last updated
01/23/2023
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