John Michael Pellerin JR., L.M.T.

NPI #1407192891 in Sherwood, Oregon

Provider Information

NPI Number: 1407192891
Entity Type: Individual
Name: John Michael Pellerin JR., L.M.T.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: L.M.T.
Enumeration Date: Dec 12, 2012
Last Updated: Dec 12, 2012

Practice Location

Address: 21887 SW SHERWOOD BLVD STE A
City: Sherwood
State: Oregon
ZIP Code: 97140-9412
Phone: (503) 625-0500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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