Individual
DR. JOHN PAUL BROTZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4445 SW BARBUR BLVD, SUITE 104, PORTLAND, OR 97239-4047
(150) 322-6450
Mailing address
PO BOX 2576, PORTLAND, OR 97208-2576
(150) 333-3261
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3678
OR
Other
Enumeration date
07/15/2008
Last updated
07/15/2008
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