Overvold Chiropractic

NPI 1215210539 - Chiropractor - 111N00000X

NPI Details
NPI 1215210539
Enumeration Date 09/22/2011
Last Updated 09/22/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name PETER MICHAEL PETER
Position OWNER
Phone (503) 282-7581
Fax (503) 282-7581
Practice Location
2106 NE 47TH AVE
PORTLAND OR, 97213-2064, US
Phone (503) 282-7581
Fax (503) 282-7581
Business Location
2106 NE 47TH AVE
PORTLAND OR, 97213-2064, US
Phone (503) 282-7581
Fax (503) 282-7581
Toxanomy
Taxonomy Code 111N00000X
License State Oregon
License Number 1540
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According to our database, Overvold Chiropractic NPI is 1215210539, taxonomy code is 111N00000X and license number is 1540, license state is located at Oregon. Overvold Chiropractic physically located at 2106 Ne 47th Ave, Portland OR, 97213-2064. NPI Number 1033115704 has the healthcare provider type.

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1215210539 NPI number is provided on an as is basis without warranty of any kind. 1215210539 is maintained by the National Plan & Provider Enumeration System. The contents of Overvold Chiropractic are for informational purposes only.