Organization
OLD PORT CHIROPRACTIC,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LYNNE A WHALEN D.C. (OWNER)
(207) 749-8736
Entity
Organization
Contact information
Practice address
97A EXCHANGE ST STE 204, PORTLAND, ME 04101-5016
(207) 749-8736
Mailing address
97A EXCHANGE ST STE 204, PORTLAND, ME 04101-5016
(207) 749-8736
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
CR1254
ME
Other
Enumeration date
05/06/2011
Last updated
02/23/2016
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