Organization
WHOLE BODY HEALING & WELLNESS CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN J DELLISANTI JR. D.C. (OWNER)
(503) 764-9207
Entity
Organization
Contact information
Practice address
1320 NW 20TH AVE, PORTLAND, OR 97209-1607
(503) 764-9207
(503) 764-9226
Mailing address
PO BOX 28305, PORTLAND, OR 97228-8305
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3933
OR
Other
Enumeration date
11/02/2009
Last updated
11/02/2009
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