NPI | 1295004612 |
---|---|
Doing Business As | NEWPORT CHIROPRACTIC |
Entity Type | Organization |
Authorized Contact | KENNETH STANLEY BISHOP Sole Member LLC/Phycian 541-265-8680 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 111N00000X Chiropractor (Licence: OR 3854) |
261QM1300X Clinic/Center, Multi-Specialty (Licence: OR 817822-95) | |
Enumeration Date | 2011-12-14 |
Last Update Date | 2024-01-24 |