Individual
DR. TODD DALYN THISTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
15895 SW 72ND AVE, SUITE 120, PORTLAND, OR 97224-7977
(503) 430-1952
(503) 747-0913
Mailing address
15895 SW 72ND AVE, SUITE 120, PORTLAND, OR 97224-7977
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3805
OR
Other
Enumeration date
07/14/2008
Last updated
01/07/2016
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