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Individual

DR. PAULIE D HEISEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
3939 NE HANCOCK ST # 303, PORTLAND, OR 97212-5321
(971) 599-3512
(844) 888-1211
Mailing address
3430 NE 66TH AVE, PORTLAND, OR 97213-4565
(971) 599-3512
(844) 888-1211

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6123
OR
111N00000X
Chiropractor
9221
AZ

Other

Enumeration date
12/27/2020
Last updated
11/11/2024
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