Lifestreams Chiropractic Center, LLC

NPI #1942588785 in Newberg, Oregon

Provider Information

NPI Number: 1942588785
Entity Type: Organization
Organization Name: Lifestreams Chiropractic Center, LLC
Primary Specialty: Chiropractor
Enumeration Date: Jul 27, 2011
Last Updated: Jun 19, 2020

Practice Location

Address: 901 BRUTSCHER ST STE 210
City: Newberg
State: Oregon
ZIP Code: 97132-6094
Phone: (503) 537-2052

Authorized Official

Name: DR. MARY ANN TACK, DC
Title: CHIROPRACTOR/OWNER
Phone: (503) 537-2052

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X
Chiropractor	111N00000X	Primary

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