Individual
MS. JIAN SHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
10626 NE GLISAN STREET, PORTLAND, OR 97220-4045
(503) 896-0660
Mailing address
10626 NE GLISAN STREET, PORTLAND, OR 97220-4045
(503) 896-0660
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4074
OR
Other
Enumeration date
01/10/2011
Last updated
11/27/2012
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