SUSAN STROM, DC, PC
Ambulatory Health at Northrup St, Portland, OR

License number
Oregon 65 1461
Category
Ambulatory Health
Type
Clinic/Center
Owner
Name: DR. SUSAN ELIZABETH STROM D.C.
Title: PRESIDENT
Phone: (503) 223-6414
Address
Address
2456 NW Northrup St SUITE 1-A, Portland, OR 97210
National Provider ID: 1467649590
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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SUSAN STROM, D.C., PC

Portland, OR

Status:
Inactive
Industry:
Chiropractor
Doing business as:
Susan Strom DC<br>Susan Strom DC Chiropractic
Registration:
Feb 3, 1999
Addresses:
2250 NW Flanders St SUITE 304, Portland, OR 97210 (Physical)
2250 NW Flanders St STE 304 2250 NW FLANDERS ST, Portland, OR 97210 (Mailing)
2456 NW Northrup St, Portland, OR 97210
State ID:
67368283
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Medical Doctors:
Susan Strom (Owner),Nicole Didenti Christiansen (Medical Doctor)
Agent:
Susan Strom,2250 NW Flanders St STE 304, Portland, OR 97210 (Physical)

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