Individual
DR. MARK J SEPULVEDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1865 NW 169TH PL, SUITE #100, BEAVERTON, OR 97006-7327
(503) 614-8300
(503) 614-9081
Mailing address
1865 NW 169TH PL, SUITE #100, BEAVERTON, OR 97006-7327
(503) 614-8300
(503) 614-9081
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2761
OR
Other
Enumeration date
02/27/2007
Last updated
07/08/2007
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