# NORTHWEST CHIROPRACTIC CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558410027
- **Authorized official:** DR. OWEN D MARTIN D.C. (DOCTOR OF CHIROPRACTIC)
- **Authorized official phone:** (541) 471-0397

## Contact information

- **Practice address:** 746 NW 6TH ST, GRANTS PASS, OR 97526-1524
- **Practice address phone:** (541) 471-0397
- **Practice address fax:** (541) 471-6459
- **Mailing address:** 746 N.W. SIXTH STREET, GRANTS PASS, OR 97526-1524
- **Mailing address phone:** (541) 471-0397
- **Mailing address fax:** (541) 471-6459

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 2821 | OR | — |
| 111N00000X | Chiropractor | 3563 | OR | Yes |

## Other

- **Enumeration date:** 01/10/2007
- **Last updated:** 08/22/2020