| NPI | 1255505491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN CHARLES COLWELL Owner 541-482-2904 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OR 27 1385) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: OR 27 3602) |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2008-06-03 |