| NPI | 1639417413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS P CARLSTROM Doctor Of Chiropractic / Owner 541-484-2004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NX0800X Chiropractor, Orthopedic (Licence: OR 1732) |
| Enumeration Date | 2013-01-29 |
| Last Update Date | 2013-06-07 |