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Organization
K. C. CHIROPRACTIC LLC
Active
Organization
K. C. CHIROPRACTIC LLC
Active
Other names
Stateline Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAD EDWARD SMITH D.C. (OWNER)
(541) 938-8300
Entity
Organization
Contact information
Practice address
85458 HIGHWAY 11, MILTON FREEWATER, OR 97862-7309
(541) 938-8300
(541) 938-3424
Mailing address
85458 HIGHWAY 11, MILTON FREEWATER, OR 97862-7309
(541) 938-8300
(541) 938-3424
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4101
OR
Other
Enumeration date
08/17/2017
Last updated
08/17/2017
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