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Organization

INACTIVE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DOKKEN HAWTHORNE RAMEY DC (OWNER/ PRESIDENT)
(971) 219-3588
Entity
Organization

Contact information

Practice address
14890 FORSYTHE RD, OREGON CITY, OR 97045-9417
(971) 219-3588
Mailing address
14890 FORSYTHE RD, OREGON CITY, OR 97045-9417
(971) 219-3588

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3845
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
07101973
BIRTHDATE
OR
Enumeration date
02/02/2012
Last updated
09/30/2016
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