| Keystone Chiropractic Llc | |
|
685 Portland Ave Gladstone OR 97027-2117 | |
| (503) 908-1001 | |
| (503) 908-1002 |
| Full Name | Keystone Chiropractic Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 685 Portland Ave, Gladstone, Oregon |
| Authorized Official Name and Position | Brad Marshal Vollmer (OWNER) |
| Authorized Official Contact | 5039081001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Keystone Chiropractic Llc 685 Portland Ave Gladstone OR 97027-2117 Ph: (503) 908-1001 | Keystone Chiropractic Llc 685 Portland Ave Gladstone OR 97027-2117 Ph: (503) 908-1001 |
| NPI Number | 1811246259 |
|---|---|
| Provider Enumeration Date | 08/30/2012 |
| Last Update Date | 08/30/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811246259 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 3867 (Oregon) | Primary |
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