NPI | 1093727034 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES E MEDAK Owner/Director 541-673-8270 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: OR 27-2817) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: OR 27-2877) |
Enumeration Date | 2006-08-11 |
Last Update Date | 2020-08-22 |