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Individual

DR. ANTHONY R ILLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
7340 S.W. HUNZIKER ROAD, SUITE 101, PORTLAND, OR 97223-2303
(503) 624-7249
(503) 684-4178
Mailing address
7340 SW HUNZIKER ST STE 101, PORTLAND, OR 97223-2303
(503) 624-7249
(503) 684-4178

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1609
OR

Other

Enumeration date
01/16/2007
Last updated
01/08/2008
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