Individual
NICHOLAS LOCKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
19767 SW 72ND AVE, SUITE 103, TUALATIN, OR 97062-8354
(503) 620-6480
Mailing address
19767 SW 72ND AVE, STE 103, TUALATIN, OR 97062-8354
(503) 620-6480
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5005
OR
Other
Enumeration date
10/18/2011
Last updated
10/09/2014
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