Individual
CHRISTINA MANDRUP JADERHOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
2031 E BURNSIDE ST, PORTLAND, OR 97214-1649
(503) 224-2100
Mailing address
2031 E BURNSIDE ST, PORTLAND, OR 97214-1649
(503) 224-2100
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4108
OR
111N00000X
Chiropractor
CH60074921
WA
Other
Enumeration date
04/27/2009
Last updated
06/06/2014
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