DR. Timothy Gene Irving, DC, LMT

NPI #1689655458 in Portland, Oregon

Provider Information

NPI Number: 1689655458
Entity Type: Individual
Name: DR. Timothy Gene Irving, DC, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: DC, LMT
Enumeration Date: Nov 9, 2005
Last Updated: Jan 19, 2013

Practice Location

Address: 819 SE MORRISON ST STE 215
City: Portland
State: Oregon
ZIP Code: 97214-6317
Phone: (503) 866-9739

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X
Massage Therapist	225700000X	Primary

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