Search › Oregon › 111N00000X
Theodore Lillie, D.C
NPI 1053650531 · on the registry since 2013 · sole proprietor
Practice
- Address
- 2106 Ne 47th Ave
Portland, OR 97213 - Phone
- (503) 282-7581
- Fax
- (503) 269-5622
- Organisation at this address
- Overvold Chiropractic
Portland Spine Center LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Also registered as
- 111N00000X
- Licence states on file
- MN, OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-09-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon