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Organization
CENTRAL OREGON CHIROPRACTIC SERVICE PC
Active
Organization
CENTRAL OREGON CHIROPRACTIC SERVICE PC
Active
Other names
Madras Chiropractic Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK MELVIN MULLINS D.C. (OWNER/PRESIDENT)
(541) 475-6171
Entity
Organization
Contact information
Practice address
28 NE 12TH ST, MADRAS, OR 97741-1827
(541) 475-6171
(541) 475-6172
Mailing address
28 NE 12TH ST, MADRAS, OR 97741-1827
(541) 475-6171
(541) 475-6172
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
271654
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269480
—
OR
Enumeration date
01/17/2008
Last updated
10/01/2013
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