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Organization

PERFORMANCE AND SPINE CHIROPRACTIC CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JONATHAN KINNEY (MEMBER)
(503) 348-4464
Entity
Organization

Contact information

Practice address
19365 SW 65TH AVE, SUITE 104, TUALATIN, OR 97062-9196
(503) 348-4464
Mailing address
19365 SW 65TH AVE, SUITE 104, TUALATIN, OR 97062-9196

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3859
OR

Other

Enumeration date
07/09/2008
Last updated
07/09/2008
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