Individual
NICHOLAS RYAN MCBRIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
715 SW MORRISON ST, SUITE 912, PORTLAND, OR 97205-3122
(503) 488-5485
(503) 488-5834
Mailing address
715 SW MORRISON ST, SUITE 912, PORTLAND, OR 97205-3122
(503) 488-5485
(503) 488-5834
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4112
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4112
CHIROPRACTIC LISCENSE
OR
Enumeration date
03/11/2010
Last updated
03/05/2012
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