Individual
DR. THERESA M KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
4035 SE 52ND AVE, SUITE B, PORTLAND, OR 97206-3913
(503) 774-4099
(503) 774-0106
Mailing address
4035 SE 52ND AVE, SUITE B, PORTLAND, OR 97206-3913
(503) 774-4099
(503) 774-0106
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2850
OR
Other
Enumeration date
12/15/2005
Last updated
04/04/2008
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