Organization
CORNERSTONE CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER DRAKE TOLLENAAR D.C. (CHIROPRACTOR, OWNER)
(503) 639-0778
Entity
Organization
Contact information
Practice address
11565 SW DURHAM RD, SUITE 110, TIGARD, OR 97224-3553
(503) 639-0778
(503) 639-0815
Mailing address
11565 SW DURHAM RD, SUITE 110, TIGARD, OR 97224-3553
(503) 639-0778
(503) 639-0815
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
27 2904
OR
Other
Enumeration date
12/03/2007
Last updated
05/16/2011
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