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Jeffery J Moll Dc PC

Chiropractor in Stayton, OR. Organization (NPI-2).

NPI number1750599536
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1750599536
Entity type
Organization (NPI-2)
Legal business name
Jeffery J Moll Dc PC
Organization subpart
No
Enumeration date
May 18, 2007
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111N00000X Chiropractor––Yes

Practice location

1460 N 1st Ave
Stayton, OR 97383-1212

Phone 503-769-5411

Mailing address

Po Box 531
Stayton, OR 97383-0531

Phone 503-769-5411

Authorized official

Jeffery J Moll
Owner President
5037695411

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