Individual
DR. EVAN WILLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
240 NW CLAYPOOL ST, PRINEVILLE, OR 97754-1842
(541) 447-6627
Mailing address
240 NW CLAYPOOL ST, PRINEVILLE, OR 97754-1842
(541) 447-6627
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6280
OR
Other
Enumeration date
01/05/2023
Last updated
01/05/2023
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