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Organization
BALLAD TOWNE CHIROPRACTIC CLINIC PC
Active
Organization
BALLAD TOWNE CHIROPRACTIC CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BONNIE L MCDOWELL PT, DC (OWNER)
(503) 357-2187
Entity
Organization
Contact information
Practice address
1905 MTN VIEW LN STE 400, FOREST GROVE, OR 97116-2264
(503) 357-2187
(503) 357-2187
Mailing address
1905 MTN VIEW LN STE 400, FOREST GROVE, OR 97116-2264
(503) 357-2187
(503) 357-2187
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
1900
OR
111N00000X
Chiropractor
Primary
1997
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
033068002
MCDOWELL BLUE CROSS #
OR
01
—
033069000
ZAPF BLUE CROSS #
OR
Enumeration date
07/31/2006
Last updated
04/08/2011
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