Modern Chiropractic, LLC
NPI #1972378438 in Lake Oswego, Oregon
Provider Information
- NPI Number
- 1972378438
- Entity Type
- Organization
- Organization Name
- Modern Chiropractic, LLC
- Primary Specialty
- Chiropractor
- Enumeration Date
- Nov 15, 2023
- Last Updated
- Nov 15, 2023
Practice Location
- Address
- 16679 BOONES FERRY RD STE 105
- City
- Lake Oswego
- State
- Oregon
- ZIP Code
- 97035-4378
- Phone
- (503) 635-6005
Authorized Official
- Name
- PHILIP DEVASTO, DC
- Title
- OWNER
- Phone
- (617) 365-1527
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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