Organization
WHOLE MAMA WHOLE CHILD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMY L WATSON DC (CHIROPRACTOR)
(503) 282-1118
Entity
Organization
Contact information
Practice address
5515 NE 30TH AVE, PORTLAND, OR 97211-6805
(503) 282-1118
(503) 914-0417
Mailing address
5515 NE 30TH AVE, PORTLAND, OR 97211-6805
(503) 282-1118
(503) 914-0417
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
273445
OR
Other
Enumeration date
07/22/2009
Last updated
07/22/2009
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