Individual
JOLETT ROD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
3808 N WILLIAMS AVE, #133, PORTLAND, OR 97227-1467
(971) 202-9519
Mailing address
3808 N WILLIAMS AVE, #133, PORTLAND, OR 97227-1467
(971) 202-9519
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5795
OR
Other
Enumeration date
01/26/2017
Last updated
01/26/2017
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