Organization
COMMON GROUND CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELLIOTT J. MANTELL DC (OWNER)
(503) 232-4099
Entity
Organization
Contact information
Practice address
2927 NE EVERETT ST, PORTLAND, OR 97232-3248
(503) 232-4099
(503) 234-0370
Mailing address
2927 NE EVERETT ST, PORTLAND, OR 97232-3248
(503) 232-4099
(503) 234-0370
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1631
OR
Other
Enumeration date
05/25/2010
Last updated
05/25/2010
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