| NPI | 1942685532 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | LORI MACE Owner 541-343-3455  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 111NP0017X Chiropractor, Pediatric Chiropractor (Licence: OR 4016)  | 
| Enumeration Date | 2015-07-23 | 
| Last Update Date | 2015-07-23 |