Organization
SCAPPOOSE CHIRO CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMIE MARIE ELLIS DC (OWNER)
(503) 987-4100
Entity
Organization
Contact information
Practice address
33608 E COLUMBIA AVE STE 110, SCAPPOOSE, OR 97056-3442
(503) 987-4100
(503) 987-4107
Mailing address
33608 E COLUMBIA AVE STE 110, SCAPPOOSE, OR 97056-3442
(503) 987-4100
(503) 987-4107
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4103
OR
Other
Enumeration date
06/26/2018
Last updated
01/08/2023
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