Organization
MILLBOD INVESTMENTS
Active
Other names
ridgeline clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT BODNER DC, LMT (CHIROPRACTIC PHYSICIAN)
(503) 614-9561
Entity
Organization
Contact information
Practice address
3735 SE DIVISION ST, PORTLAND, OR 97202-1547
(503) 502-1379
(503) 488-5584
Mailing address
3735 SE DIVISION ST, PORTLAND, OR 97202-1547
(503) 502-1379
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3993
OR
Other
Enumeration date
01/11/2013
Last updated
01/11/2013
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