Individual
DR. KHASHAYAR JAFARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
78178 SE STARK ST, PORTLAND, OR 97215
(503) 975-5298
(503) 546-7496
Mailing address
78178 SE STARK ST, PORTLAND, OR 97215
(503) 975-5298
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6113
OR
Other
Enumeration date
11/25/2020
Last updated
11/25/2020
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