Individual
RUSSELL W MARGACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
4838 NE SANDY BLVD, #210, PORTLAND, OR 97213-2091
(503) 288-6079
Mailing address
4838 NE SANDY BLVD, #210, PORTLAND, OR 97213-2091
(503) 288-6079
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2132
OR
Other
Enumeration date
04/05/2007
Last updated
07/08/2007
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