Individual
DR. LYNN M WITTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
9860 SW HALL BLVD, SUITE C3, TIGARD, OR 97223-8896
(503) 246-8648
Mailing address
9860 SW HALL BLVD, SUITE C3, TIGARD, OR 97223-8896
(503) 246-8648
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
27-2367
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
041801
—
OR
Enumeration date
07/30/2007
Last updated
07/30/2007
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