Individual
DR. MARK M MULLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
28 NE 12TH ST, MADRAS, OR 97741
(541) 475-6171
(541) 475-6172
Mailing address
28 NE 12TH ST, MADRAS, OR 97741
(541) 475-6171
(541) 475-6172
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
271654
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269480
—
OR
Enumeration date
06/30/2006
Last updated
07/08/2007
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