Organization
SHERWOOD BOULEVARD CHIROPRACTIC, LLC
Active
Other names
Elite Spine and Sports
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN H WILKINS DC (OWNER)
(503) 625-0500
Entity
Organization
Contact information
Practice address
21887 SW SHERWOOD BLVD STE A, SHERWOOD, OR 97140-9412
(503) 625-0500
Mailing address
21887 SW SHERWOOD BLVD STE A, SHERWOOD, OR 97140-9412
(503) 625-0500
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
171100000X
Acupuncturist
—
—
225700000X
Massage Therapist
—
—
Other
Enumeration date
12/02/2014
Last updated
12/09/2020
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