Individual
HUNTER TADLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
4160 NE SANDY BLVD # 1100, PORTLAND, OR 97212-5336
(503) 249-9000
Mailing address
4160 NE SANDY BLVD # 1100, PORTLAND, OR 97212-5336
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6144
OR
Other
Enumeration date
03/25/2021
Last updated
03/25/2021
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