Individual
MONIQUE NICOLE WENDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
12210 SW MAIN ST # 230259, PORTLAND, OR 97223-6222
(657) 342-9103
Mailing address
12210 SW MAIN ST # 230259, PORTLAND, OR 97223-6222
(657) 342-9103
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5935
OR
Other
Enumeration date
12/17/2018
Last updated
03/30/2021
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