Advantage Chiropractic Clinic LLC

NPI #1043453145 in Portland, Oregon

Provider Information

NPI Number: 1043453145
Entity Type: Organization
Organization Name: Advantage Chiropractic Clinic LLC
Primary Specialty: Chiropractor
Enumeration Date: Apr 20, 2009
Last Updated: Apr 26, 2009

Practice Location

Address: 9811 SE DIVISION ST
City: Portland
State: Oregon
ZIP Code: 97266-1335
Phone: (503) 761-1631

Authorized Official

Name: DR. MICHAEL THOMAS STUBBS
Title: OWNER
Phone: (503) 720-7098

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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