Organization
STEVE M KINGSTON DC PC
Active
Other names
Mt. Tabor Chiropractic Cente
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVE M KINGSTON DC (OWNER)
(503) 236-1528
Entity
Organization
Contact information
Practice address
4351 SE HAWTHORNE BLVD, PORTLAND, OR 97215-3162
(503) 236-1528
(503) 236-3701
Mailing address
4351 SE HAWTHORNE BLVD, PORTLAND, OR 97215-3162
(503) 236-1528
(503) 236-3701
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
2039
OR
Other
Enumeration date
10/11/2007
Last updated
10/11/2007
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