| NPI | 1962097212 |
|---|---|
| Former Legal Business Name | STANDING TALL CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | DALE ELLWEIN President 541-241-5072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2021-03-08 |
| Last Update Date | 2022-03-08 |