Organization · Type 2 NPI

Judith Boothby MS DC PC

Chiropractor · Portland, OR

NPI number 1053629147 Active

Practice location

1620 SE Ankeny St
Portland, OR 97214-1448

Call (503) 233-0943 Map

Fax (503) 233-0943

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X29906 (OR)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1053629147

Judith Boothby MS DC PC's National Provider Identifier is 1053629147, issued on Sep 22, 2010. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Portland, OR. The record was last updated on Sep 22, 2010.