Individual
MICHAEL THOMAS WISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
707 SW 9TH ST, REDMOND, OR 97756-2726
(541) 728-0085
(541) 504-5353
Mailing address
707 SW 9TH ST, REDMOND, OR 97756
(541) 548-5089
(541) 504-5353
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3915
OR
Other
Enumeration date
08/22/2005
Last updated
02/24/2017
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