Chiropractic Life Center - West

NPI #1699021550 in Beaverton, Oregon

Provider Information

NPI Number: 1699021550
Entity Type: Organization
Organization Name: Chiropractic Life Center - West
Primary Specialty: Chiropractor
Enumeration Date: Jul 30, 2012
Last Updated: Jul 30, 2012

Practice Location

Address: 4085 SW 109TH AVE
Address 2: STE 200
City: Beaverton
State: Oregon
ZIP Code: 97005-3000
Phone: (503) 644-4846

Authorized Official

Name: DR. JOSEPH STEPHEN DOMBEK, D.C.
Title: OWNER
Phone: (503) 644-4846

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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