| NPI | 1184121147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD MCCULLOUGH Chiropractic Physician 541-500-8838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OR 5731) |
| Enumeration Date | 2018-04-06 |
| Last Update Date | 2018-04-06 |