# INICE GOUGH DC PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Three Sisters Chiropractic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275523268
- **Authorized official:** DR. INICE D GOUGH DC (PRESIDENT)
- **Authorized official phone:** (541) 549-3583

## Contact information

- **Practice address:** 270 S SPRUCE, SISTERS, OR 97759
- **Practice address phone:** (541) 549-3583
- **Practice address fax:** (541) 549-3583
- **Mailing address:** PO BOX 2178, SISTERS, OR 97759-2178
- **Mailing address phone:** (541) 549-3583
- **Mailing address fax:** (541) 549-3583

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 272994 | OR | Yes |

## Other

- **Enumeration date:** 10/21/2005
- **Last updated:** 12/10/2012