| NPI | 1275804171 |
|---|---|
| Doing Business As | HEALTHSOURCE OF CANBY |
| Entity Type | Organization |
| Authorized Contact | DAVID ALAN DEWAR Chiropractor/Member Manager 503-799-8067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: OR 3831) |
| Enumeration Date | 2012-01-24 |
| Last Update Date | 2012-01-24 |