Evergreen Chiropractic PC

NPI #1003423914 in Gresham, Oregon

Provider Information

NPI Number: 1003423914
Entity Type: Organization
Organization Name: Evergreen Chiropractic PC
Primary Specialty: Chiropractor
Enumeration Date: Sep 24, 2020
Last Updated: Mar 5, 2021

Practice Location

Address: 657 NE HOOD AVE
City: Gresham
State: Oregon
ZIP Code: 97030-7328
Phone: (503) 912-1156

Authorized Official

Name: DR. MICHAEL JARED MANNS, DC
Title: CHIROPRACTOR/OWNER
Phone: (503) 912-1156

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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