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Organization
CAPITOL CHIROPRACTIC
Active
Organization
CAPITOL CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES T WALLACE DC (CHIROPRACTOR)
(503) 581-1801
Entity
Organization
Contact information
Practice address
1190 CROSS ST SE, SALEM, OR 97302-2924
(503) 581-1801
Mailing address
1190 CROSS ST SE, SALEM, OR 97302-2924
(503) 581-1801
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3044
OR
Other
Enumeration date
04/29/2016
Last updated
04/29/2016
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