Injury and Trauma Clinic LLC

NPI #1932705969 in Portland, Oregon

Provider Information

NPI Number: 1932705969
Entity Type: Organization
Organization Name: Injury and Trauma Clinic LLC
Primary Specialty: Chiropractor
Enumeration Date: Dec 6, 2020
Last Updated: Dec 6, 2020

Practice Location

Address: 12774 SE STARK ST
City: Portland
State: Oregon
ZIP Code: 97233-1539
Phone: (971) 254-8909

Authorized Official

Name: MR. VOLODYMYR GOLOVAN
Title: MANAGER
Phone: (971) 254-8909

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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