Organization
CENTRAL SPORT AND SPINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES THORNBURG (SOLE MEMBER)
(503) 317-2944
Entity
Organization
Contact information
Practice address
160 SW SCALEHOUSE LOOP, SUITE 140, BEND, OR 97702-1284
(541) 617-9969
(541) 617-9890
Mailing address
160 SW SCALEHOUSE LOOP, SUITE 140, BEND, OR 97702-1284
(541) 617-9969
(541) 617-9890
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5125
OR
Other
Enumeration date
09/12/2013
Last updated
01/27/2014
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