Organization
JOHN STADY
Active
Other names
Beaverton Chiropractic Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN STADY DC (OWNER)
(503) 644-3022
Entity
Organization
Contact information
Practice address
12775 SW BROADWAY ST, BEAVERTON, OR 97005-2134
(503) 644-3022
(503) 644-3092
Mailing address
12775 SW BROADWAY ST, BEAVERTON, OR 97005-2134
(503) 644-3022
(503) 644-3092
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
10/21/2022
Last updated
10/21/2022
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