| |
90971 S Willamette St, Coburg, OR 97408-9206 | |
(931) 224-3893 | |
(541) 747-1535 |
Full Name | |
---|---|
Type | Facility |
Speciality | Chiropractor |
Location | 90971 S Willamette St, Coburg, Oregon |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235610213 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 5838 (Oregon) | Primary |
Mailing Address | Practice Location Address |
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Po Box 81, Springfield, OR 97477-0005 Ph: (833) 628-5433 | 90971 S Willamette St, Coburg, OR 97408-9206 Ph: (931) 224-3893 |