Inactive is a Chiropractor based in Oregon City, OR. Inactive practices in Oregon City, OR. The NPI Number for Inactive is 1164794442 and holds a License No. 3845 (Oregon).
The current practice location address for Inactive is 14890 Forsythe Rd, Oregon City, OR and can be reached out via phone at 971-219-3588.
Location: 14890 Forsythe Rd, Oregon City, OR, 97045-9417
Provider Profile Details
NPI Number
1164794442
Provider Name
Inactive
Credential
Provider Entity Type
Organization
Address
14890 Forsythe Rd, Oregon City, OR, 97045-9417
Phone Number
971-219-3588
Fax Number
Provider Enumeration Date
02/02/2012
Last Update Date
03/09/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07101973 | 01 | OR | BIRTHDATE |
Provider Business Practice Location Address Details
Address
14890 Forsythe Rd
City
State
Zip
97045-9417
Phone Number
971-219-3588
Fax Number
Provider Business Mailing Address Details
Address
14890 Forsythe Rd
City
State
Zip
97045-9417
Phone Number
971-219-3588
Fax Number
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
License No.
3845 (Oregon)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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