| NPI | 1912385816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COREY O'NEILL Owner/Physician 541-944-8404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: OR 5507) |
| Enumeration Date | 2015-05-12 |
| Last Update Date | 2015-09-09 |