| NPI | 1003487232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARESSA A GULLIKSON Owner 541-941-4959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2021-07-08 |
| Last Update Date | 2021-07-08 |