Individual
MACY EARL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
155 SW CENTURY DR STE 111, BEND, OR 97702-1657
(541) 797-6229
Mailing address
61539 SE JENNIFER LN UNIT 2, BEND, OR 97702-3892
(306) 471-7619
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6381
OR
Other
Enumeration date
04/03/2024
Last updated
04/03/2024
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