Individual
DR. GERALD MANUELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
5110 SE RAYMOND ST, PORTLAND, OR 97206-4821
(503) 866-1819
Mailing address
5110 SE RAYMOND ST, PORTLAND, OR 97206-4821
(503) 866-1819
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5113
OR
Other
Enumeration date
06/11/2014
Last updated
06/11/2014
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