NPI 1013553189

Elite Upper Cervical LLC

Organisation Chiropractor Portland, OR

Practice location

Address: 10200 SW Eastridge St STE 235, Portland, OR 97225-5063
Phone: (503) 597-8098
Fax: (503) 597-8098

Authorised official

Name: Corey Daniel Burt
Title: Director
Phone: (503) 597-8098

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X

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Registry record

NPI: 1013553189
Entity type: Organization
NPI issued: 22 Nov 2019
Record last updated: 29 Oct 2023

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.