Organization · Type 2 NPI

Portland Healing Space LLC

Chiropractor · Portland, OR

NPI number 1326453515 Active

Practice location

1830 NE Grand Ave
Portland, OR 97212-3912

Fax (503) 894-9437

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X5084
Acupuncturist 171100000XNone listed
Massage Therapist 225700000XNone listed

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 1326453515

Portland Healing Space LLC's National Provider Identifier is 1326453515, issued on Jun 25, 2014. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Portland, OR. The record was last updated on Jul 15, 2014.