Organization
K. C. CHIROPRACTIC LLC
Active
Other names
Stateline Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAD EDWARD SMITH D.C. (OWNER)
(541) 938-8300
Entity
Organization
Contact information
Practice address
85458 HIGHWAY 11, MILTON FREEWATER, OR 97862-7309
(541) 938-8300
(541) 938-3424
Mailing address
85458 HIGHWAY 11, MILTON FREEWATER, OR 97862-7309
(541) 938-8300
(541) 938-3424
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4101
OR
Other
Enumeration date
08/17/2017
Last updated
08/17/2017
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