Chiropractic Injury Center, LLC

NPI #1073073904 in Portland, Oregon

Provider Information

NPI Number: 1073073904
Entity Type: Organization
Organization Name: Chiropractic Injury Center, LLC
Primary Specialty: Chiropractor
Enumeration Date: Mar 25, 2019
Last Updated: Mar 25, 2019

Practice Location

Address: 11679 NE GLISAN ST
City: Portland
State: Oregon
ZIP Code: 97220-2264
Phone: (971) 373-8257

Authorized Official

Name: DMITRIY V TUPIKOV
Title: OWNER
Phone: (971) 373-8257

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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