Organization · Type 2 NPI
Lisa Jewell DC LLC
Clinic/Center · Portland, OR
NPI number
1104332899
Active
Practice location
510 SW 3rd Ave Ste 210
Portland, OR 97204-2507
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | 5655 (OR) |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
3 other providers at this address
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About NPI 1104332899
Lisa Jewell DC LLC's National Provider Identifier is 1104332899, issued on Dec 18, 2017. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Portland, OR. The record was last updated on Dec 18, 2017.