Judith Boothby Ms DC PC

NPI #1053629147 in Portland, Oregon

Provider Information

NPI Number: 1053629147
Entity Type: Organization
Organization Name: Judith Boothby Ms DC PC
Primary Specialty: Chiropractor
Enumeration Date: Sep 22, 2010
Last Updated: Sep 22, 2010

Practice Location

Address: 1620 SE ANKENY ST
City: Portland
State: Oregon
ZIP Code: 97214-1448
Phone: (503) 233-0943

Authorized Official

Name: DR. JUDITH W BOOTHBY, DC
Title: CHIROPRACTOR
Phone: (503) 233-0943

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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