Organization
CENTER FOR LIFE CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANTEL TITUS (OFFICE MANAGER)
(541) 312-9794
Entity
Organization
Contact information
Practice address
1004 NW MILWAUKEE AVE, STE 200, BEND, OR 97701-2243
(541) 312-9794
(541) 312-9795
Mailing address
1004 NW MILWAUKEE AVE, STE 200, BEND, OR 97701-2243
(541) 312-9794
(541) 312-9795
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3314
OR
Other
Enumeration date
09/30/2009
Last updated
09/30/2009
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