| NPI | 1417096256 |
|---|---|
| Doing Business As | EVERGREEN CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | MATTHEW DAVID HALES Owner 208-895-8595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: ID CHIA-1153) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2008-05-12 |