NPI 1003423914

Evergreen Chiropractic PC

Organisation Chiropractor Gresham, OR

Practice location

Address: 657 NE Hood Ave, Gresham, OR 97030-7328
Phone: (503) 912-1156
Fax: (971) 292-2932
Mailing address: 5920 Burma Rd, Lake Oswego, OR 97035-3240

Authorised official

Name: Michael Jared Manns
Title: Chiropractor/Owner
Phone: (503) 912-1156

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X

Other Chiropractor providers in Oregon →

Registry record

NPI: 1003423914
Entity type: Organization
NPI issued: 24 Sep 2020
Record last updated: 5 Mar 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.