Organization
PORTLAND MASSAGE AND CHIROPRACTIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY R. DOUGAL D.C. (CEO)
(503) 347-7668
Entity
Organization
Contact information
Practice address
7542 SW 35TH AVE, PORTLAND, OR 97219-1749
(503) 347-7668
Mailing address
7542 SW 35TH AVE, PORTLAND, OR 97219-1749
(503) 347-7668
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3680
OR
225700000X
Massage Therapist
13436
OR
Other
Enumeration date
07/25/2013
Last updated
07/25/2013
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