| NPI | 1598057309 |
|---|---|
| Doing Business As | ACTIVE CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | BRIAN D GERVAIS Chiropractic Physician 541-543-5032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: OR 3834) |
| Enumeration Date | 2011-05-11 |
| Last Update Date | 2011-05-11 |