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Organization

HARTWIG CHIROPRACTIC, LLC

Active
Other names
Marcum Chiropractic Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
JODE ANN JOY PETERSON (ADMINISTRATOR)
(503) 235-7130
Entity
Organization

Contact information

Practice address
4310 N INTERSTATE AVE, PORTLAND, OR 97217
(503) 235-7130
(503) 235-7134
Mailing address
4310 N INTERSTATE AVE, PORTLAND, OR 97217-3211
(503) 235-7130
(503) 235-7134

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
261QR0400X
Rehabilitation Clinic/Center
Primary
3827
OR

Other

Enumeration date
02/16/2011
Last updated
07/17/2018
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