Source Health Center

NPI #1992243034 in Beaverton, Oregon

Provider Information

NPI Number: 1992243034
Entity Type: Organization
Organization Name: Source Health Center
Primary Specialty: Chiropractor
Enumeration Date: Feb 9, 2017
Last Updated: Feb 9, 2017

Practice Location

Address: 15455 NW GREENBRIER PKWY
Address 2: SUITE #150
City: Beaverton
State: Oregon
ZIP Code: 97006-7374
Phone: (503) 200-5778

Authorized Official

Name: MICHAEL C MCCALL, DC
Title: OWNER
Phone: (503) 200-5778

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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