Individual
BRIAN EDWARD BODTKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C
Contact information
Practice address
6125 NE CORNELL RD, 300, HILLSBORO, OR 97124-5412
(503) 924-1777
(503) 924-2778
Mailing address
6125 NE CORNELL RD, 300, HILLSBORO, OR 97124-5412
(503) 924-1777
(503) 924-2778
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5025
OR
Other
Enumeration date
01/03/2012
Last updated
01/03/2012
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