Individual
EVAN HALBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
11125 NE SANDY BLVD, PORTLAND, OR 97220-2555
(503) 257-3377
Mailing address
2326 NE LOMBARD ST APT 3, PORTLAND, OR 97211-5200
(503) 888-8228
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5636
OR
Other
Enumeration date
04/01/2015
Last updated
04/01/2015
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