Organization
AVISTA CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAN BENDER D.C. (OWNER/DOCTOR)
(503) 224-2425
Entity
Organization
Contact information
Practice address
1201 SW 12TH AVE, SUITE 600, PORTLAND, OR 97205-2046
(503) 224-2425
(503) 224-7512
Mailing address
1201 SW 12TH AVE, SUITE 600, PORTLAND, OR 97205-2046
(503) 224-2425
(503) 224-7512
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
273168
OR
Other
Enumeration date
06/03/2008
Last updated
04/05/2011
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