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Dr. Shane Alan Gofourth, DC
Chiropractor in Veneta, Oregon
NPI 1861427627

Shane Alan Gofourth is a Chiropractor based in Veneta, OR. Shane Alan Gofourth practices in Veneta, OR and has the professional credentials of DC. The NPI Number for Shane Alan Gofourth is 1861427627 and holds a License No. 27 3292 (Oregon).

The current practice location address for Shane Alan Gofourth is 88124 Territorial Rd., Veneta, OR and can be reached out via phone at 541-935-2242 and via fax at 541-935-2242.

Location: 88124 Territorial Rd., Veneta, OR, 97487-1108
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Provider Profile Details
NPI Number
1861427627
Provider Name
Shane Alan Gofourth
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
88124 Territorial Rd., Veneta, OR, 97487-1108
Phone Number
541-935-2242
Fax Number
541-935-2242
Provider Enumeration Date
07/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
228849 01 OR OMAP
institution
Provider Business Practice Location Address Details
Address
88124 Territorial Rd.
City
State
Zip
97487
Phone Number
541-935-2242
Fax Number
541-935-2242
person
Provider Business Mailing Address Details
Address
88124 Territorial Rd.
City
State
Zip
97487
Phone Number
541-935-2242
Fax Number
541-935-2242
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
License No.
27 3292 (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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