Organization
CLOCK TOWER CHIROPRACTIC & MASSAGE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SARAH COLBY DC (OWNER/PRINCICPLE OPERATOR)
(503) 685-9841
Entity
Organization
Contact information
Practice address
8642 SW MAIN ST, SUITE #130, WILSONVILLE, OR 97070-6585
(503) 685-9841
(503) 682-9069
Mailing address
PO BOX 966, WILSONVILLE, OR 97070-0966
(503) 685-9841
(503) 682-9069
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
23365
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R134000
MEDICARE PTAN
OR
Enumeration date
11/12/2013
Last updated
11/19/2013
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