| NPI | 1104342567 |
|---|---|
| Doing Business As | STATELINE CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | CHAD EDWARD SMITH Owner 541-938-8300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OR 4101) |
| Enumeration Date | 2017-08-17 |
| Last Update Date | 2017-08-17 |