Organization · Type 2 NPI
Portland Optimal Wellness, LLC
Chiropractor · Lake Oswego, OR
NPI number
1053836247
Active
Practice location
14511 Westlake Dr Ste 148
Lake Oswego, OR 97035-7773
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 4036 (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 1053836247
Portland Optimal Wellness, LLC's National Provider Identifier is 1053836247, issued on Aug 8, 2017. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Lake Oswego, OR. The record was last updated on Aug 8, 2017.