Organization
STRUCTURAL SOLUTIONS CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VENCIL OVERLAND DC (OWNER)
(541) 325-6674
Entity
Organization
Contact information
Practice address
121 NW EVERETT ST, PORTLAND, OR 97209-4049
(541) 325-6674
Mailing address
3325 GILHAM RD, EUGENE, OR 97408-7165
(541) 325-6674
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3731
OREGON CHIROPRACTIC BOARD
OR
Enumeration date
05/29/2019
Last updated
05/29/2019
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