Revive Injury and Wellness, PC

NPI #1952698680 in West Linn, Oregon

Provider Information

NPI Number: 1952698680
Entity Type: Organization
Organization Name: Revive Injury and Wellness, PC
Primary Specialty: Chiropractor
Enumeration Date: Jul 1, 2011
Last Updated: Jun 2, 2015

Practice Location

Address: 1750 BLANKENSHIP RD
Address 2: STE 295
City: West Linn
State: Oregon
ZIP Code: 97068-5101
Phone: (503) 344-4378

Authorized Official

Name: DR. ERIN DANIELLE BLOOM, DC
Title: PRESIDENT
Phone: (503) 344-4378

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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