Organization
CHARLES E HOLTON, JR DC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES E HOLTON DC (OWNER)
(503) 623-3903
Entity
Organization
Contact information
Practice address
289 E ELLENDALE AVE, STE 102, DALLAS, OR 97338-1580
(503) 623-3903
(503) 623-3803
Mailing address
289 E ELLENDALE AVE, STE 102, DALLAS, OR 97338-1580
(503) 623-3903
(503) 623-3803
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1963
OR
Other
Enumeration date
08/07/2012
Last updated
09/11/2015
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