Organization
JADE CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOLLY OUELLETTE DC (OWNER, CHIROPRACTOR)
(339) 707-0806
Entity
Organization
Contact information
Practice address
5517 N COMMERCIAL AVE, PORTLAND, OR 97217-2339
(503) 223-0900
Mailing address
5517 N COMMERCIAL AVE, PORTLAND, OR 97217-2339
(503) 223-0900
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3992
OR
Other
Enumeration date
07/27/2011
Last updated
04/22/2014
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