Upper Echelon Fitness And Rehabilitation

NPI 1538407093 - Chiropractor - 111N00000X

NPI Details
NPI 1538407093
Enumeration Date 01/17/2013
Last Updated 03/22/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name RUSSELL WADE RUSSELL
Position OWNER/PHYSICAL THERAPIST
Phone (503) 501-8121
Fax
Practice Location
1420 NW 17TH AVE STE 388
PORTLAND OR, 97209-2447, US
Phone (503) 501-8121
Fax
Business Location
1420 NW 17TH AVE STE 388
PORTLAND OR, 97209-2447, US
Phone (503) 501-8121
Fax
Toxanomy
Taxonomy Code 111N00000X
License State Oregon
License Number 3049
Remove 1538407093 NPI Number
 

According to our database, Upper Echelon Fitness And Rehabilitation NPI is 1538407093, taxonomy code is 111N00000X and license number is 3049, license state is located at Oregon. Upper Echelon Fitness And Rehabilitation physically located at 1420 Nw 17th Ave Ste 388, Portland OR, 97209-2447. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1538407093 NPI number is provided on an as is basis without warranty of any kind. 1538407093 is maintained by the National Plan & Provider Enumeration System. The contents of Upper Echelon Fitness And Rehabilitation are for informational purposes only.