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Organization

RANGE CHIROPRACTIC LLC

Active
Other names
Range Sports Medicine & Performance
Organization subpart
No

Provider details

NPI number
Authorized official
BENJAMIN HERRON MS, DC (OWNER OF PRACTICE)
(541) 290-8696
Entity
Organization

Contact information

Practice address
170 S 2ND ST STE 205, COOS BAY, OR 97420-1673
(541) 290-8696
(541) 808-2362
Mailing address
170 S 2ND ST STE 205, COOS BAY, OR 97420-1673
(541) 290-8696
(541) 808-2362

Taxonomy

Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary

Other

Enumeration date
09/02/2020
Last updated
09/21/2022
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