DR. Theodore Robert Lillie, D.C.

NPI #1053650531 in Portland, Oregon

Provider Information

NPI Number: 1053650531
Entity Type: Individual
Name: DR. Theodore Robert Lillie, D.C.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: Feb 4, 2013
Last Updated: Sep 9, 2022

Practice Location

Address: 2106 NE 47TH AVE
City: Portland
State: Oregon
ZIP Code: 97213-2064
Phone: (503) 282-7581

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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