Grants Pass Chiropractic Clinic, Pc

NPI 1023366705 - Clinic/Center - 261Q00000X

NPI Details
NPI 1023366705
Enumeration Date 08/28/2012
Last Updated 08/28/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name EDWARD EDWARD
Position PRESIDENT OF CORPORATION
Phone (541) 479-1982
Fax (541) 479-0621
Practice Location
1103 NE 7TH ST
GRANTS PASS OR, 97526-1421, US
Phone (541) 479-1982
Fax (541) 479-0621
Business Location
1103 NE 7TH ST
GRANTS PASS OR, 97526-1421, US
Phone (541) 479-1982
Fax (541) 479-0621
Toxanomy
Taxonomy Code 261Q00000X
License State Oregon
License Number 1547
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According to our database, Grants Pass Chiropractic Clinic, Pc NPI is 1023366705, taxonomy code is 261Q00000X and license number is 1547, license state is located at Oregon. Grants Pass Chiropractic Clinic, Pc physically located at 1103 Ne 7th St, Grants Pass OR, 97526-1421. NPI Number 1033115704 has the healthcare provider type.

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1023366705 NPI number is provided on an as is basis without warranty of any kind. 1023366705 is maintained by the National Plan & Provider Enumeration System. The contents of Grants Pass Chiropractic Clinic, Pc are for informational purposes only.