Organization
ILLO CHIROPRACTIC
Active
Other names
Anthony R. Illo, D.C.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY R ILLO D.C. (OWNER)
(503) 624-7249
Entity
Organization
Contact information
Practice address
7340 SW HUNZIKER ST, SUITE 101, PORTLAND, OR 97223-8285
(503) 624-7249
(503) 684-4178
Mailing address
7340 SW HUNZIKER ST, SUITE 101, PORTLAND, OR 97223-8285
(503) 624-7249
(503) 684-4178
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1609
OR
Other
Enumeration date
04/07/2014
Last updated
04/07/2014
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