Individual
DR. MARK T DRENTLAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
325 PARK HILL LN, SUTHERLIN, OR 97479-9022
(541) 802-1040
(541) 802-1042
Mailing address
325 PARK HILL LN, SUTHERLIN, OR 97479-9022
(541) 802-1040
(541) 802-1042
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
2294
TN
111N00000X
Chiropractor
Primary
6100
OR
Other
Enumeration date
10/21/2008
Last updated
10/08/2020
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