Individual
SAGE DILLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
2161 NE BROADWAY ST, PORTLAND, OR 97232-1512
(503) 331-1800
Mailing address
4519 N KERBY AVE, PORTLAND, OR 97217-3041
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5608
OR
225700000X
Massage Therapist
13333
OR
Other
Enumeration date
01/06/2011
Last updated
03/16/2015
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