Individual
DR. JAMIE TODD RAYMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
650 BRIGHTON AVE, PORTLAND, ME 04102-1035
(207) 773-4651
(207) 773-8940
Mailing address
611 BRIGHTON AVE, PORTLAND, ME 04102-2322
(207) 773-4651
(207) 773-8940
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CR1229
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134700000
—
ME
Enumeration date
06/29/2006
Last updated
05/29/2011
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