Organization
IMPROVEMENT CHIROPRACTIC & REHAB L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSE LAYNE NUTTALL D.C. (OWNER)
(503) 254-8655
Entity
Organization
Contact information
Practice address
21440 SE STARK ST # 102, GRESHAM, OR 97030-2024
(503) 489-2992
(503) 489-2994
Mailing address
12413 NE STANTON ST, PORTLAND, OR 97230-1649
(503) 254-8655
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
273624
OR
Other
Enumeration date
11/15/2006
Last updated
08/22/2020
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