Justin Levy, LAC

NPI 1568609493 · on the registry since 2009 · sole proprietor

Practice

Address: 1201 Sw 12th Ave
Suite 205
Portland, OR 97205
Phone: (503) 279-0205
Fax: (503) 279-0206
Organisation at this address: Bryan Baisinger, Pc
Optimum Function Llc
Avista Chiropractic Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 18

Registry record

Primary taxonomy: 171100000X
171100000X
Licence states on file: OR
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2009-01-14

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