| NPI | 1558392019 |
|---|---|
| Doing Business As | CROCKETT CHIROPRACTIC CENTER |
| Entity Type | Organization |
| Authorized Contact | RONALD M CROCKETT President 503-371-9796 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OR 1472) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2012-11-16 |