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Grants Pass Chiropractic Clinic, PC

Clinic/Center in Grants Pass, OR. Organization (NPI-2).

NPI number1023366705
StatusActive
Last updated in NPPESAug 28, 2012

Details

NPI
1023366705
Entity type
Organization (NPI-2)
Legal business name
Grants Pass Chiropractic Clinic, PC
Organization subpart
No
Enumeration date
Aug 28, 2012
Last updated
Aug 28, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center1547ORYes

Practice location

1103 Ne 7th St
Grants Pass, OR 97526-1421

Phone 541-479-1982 · Fax 541-479-0621

Mailing address

1103 Ne 7th St
Grants Pass, OR 97526-1421

Phone 541-479-1982 · Fax 541-479-0621

Authorized official

Edward Welch
President Of Corporation
5414791982

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