Organization
SCOTT VANDER WALL, DC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT VANDER WALL DC (PRESIDENT)
(541) 317-9799
Entity
Organization
Contact information
Practice address
243 SW SCALEHOUSE LOOP, SUITE 5B, BEND, OR 97702-1558
(541) 317-9799
Mailing address
243 SW SCALEHOUSE LOOP, SUITE 5B, BEND, OR 97702-1558
(541) 317-9799
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3638
OR
Other
Enumeration date
07/06/2006
Last updated
08/22/2020
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