Organization
COMPLETE CARE CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID JAMES CORLL DC (BUSINESS OWNER)
(503) 582-9200
Entity
Organization
Contact information
Practice address
9375 SW COMMERCE CIR A-1, WILSONVILLE, OR 97070-9630
(503) 582-9200
(503) 582-1487
Mailing address
9375 SW COMMERCE CIR A-1, WILSONVILLE, OR 97070-9630
(503) 582-9200
(503) 582-1487
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
27 3234
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006020
—
OR
01
—
118500
MEDICARE
OR
Enumeration date
02/27/2008
Last updated
07/10/2023
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