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

TaxonomyCodeLicense
Chiropractor Primary 111N00000X4036 (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.