Individual
MITCHELL PENNINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
315 W BROADWAY STE 100, EUGENE, OR 97401-3081
(541) 343-5633
Mailing address
315 W BROADWAY STE 100, EUGENE, OR 97401-3081
(541) 343-5633
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5901
OR
Other
Enumeration date
03/19/2018
Last updated
03/19/2018
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