Individual provider · Type 1 NPI

Anthony R. Illo, DC

Chiropractor · Portland, OR

NPI number 1689725442 Active

Practice location

7340 S.w. Hunziker Road, Suite 101
Portland, OR 97223-2303

Fax (503) 684-4178

Mailing address

7340 SW Hunziker St Ste 101
Portland, OR 97223-2303

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X1609 (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 1689725442

Anthony R. Illo, DC's National Provider Identifier is 1689725442, issued on Jan 16, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Portland, OR. The record was last updated on Jan 8, 2008.