Individual provider · Type 1 NPI

Kelly Leonard Hubbard, DC

Chiropractor · Portland, OR

NPI number 1164571543 Active

Practice location

10224 SW Park Way, Suite A
Portland, OR 97225

Fax (503) 297-2623

Mailing address

PO Box 1147
Sherwood, OR 97140-1147

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X2927 (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 1164571543

Kelly Leonard Hubbard, DC's National Provider Identifier is 1164571543, issued on Jan 9, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Portland, OR. The record was last updated on Feb 4, 2016.