Organization
PIONEER CHIROPRACTIC AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS RYAN MCBRIDE D.C. (PRESIDENT)
(503) 488-5485
Entity
Organization
Contact information
Practice address
715 SW MORRISON ST, SUITE 912, PORTLAND, OR 97205-3122
(503) 488-5485
(503) 488-5834
Mailing address
715 SW MORRISON ST, SUITE 912, PORTLAND, OR 97205-3122
(503) 488-5485
(503) 488-5834
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
603007695
WA
261Q00000X
Clinic/Center
731371
OR
Other
Enumeration date
05/27/2010
Last updated
05/16/2011
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