Individual
MADELYNN VISLOCKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
511 SW 10TH AVE STE 610, PORTLAND, OR 97205-2707
(503) 756-2743
Mailing address
1010 SE 15TH AVE, PORTLAND, OR 97214-2612
(503) 830-5934
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5832
OR
Other
Enumeration date
07/14/2017
Last updated
03/17/2018
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