Individual
HEATHER PORTUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
4160 NE SANDY BLVD, PORTLAND, OR 97212-5336
(971) 379-2455
Mailing address
14127 SE HAROLD ST, PORTLAND, OR 97236-8205
(415) 939-8098
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6273
OR
Other
Enumeration date
02/13/2023
Last updated
02/13/2023
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