D'vida Injury Clinic & Wellness Center LLC

NPI #1861754517 in Beaverton, Oregon

Provider Information

NPI Number: 1861754517
Entity Type: Organization
Organization Name: D'vida Injury Clinic & Wellness Center LLC
Primary Specialty: Chiropractor
Enumeration Date: Jun 8, 2012
Last Updated: Jun 27, 2014

Practice Location

Address: 14195 SW ALLEN BLVD
City: Beaverton
State: Oregon
ZIP Code: 97005-4408
Phone: (503) 626-2166

Authorized Official

Name: MICHELLE WHITTAKER, LAC
Title: OWNER
Phone: (503) 626-2166

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X
Chiropractor	111N00000X	Primary

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