Organization
INICE GOUGH DC PC
Active
Other names
Three Sisters Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. INICE D GOUGH DC (PRESIDENT)
(541) 549-3583
Entity
Organization
Contact information
Practice address
270 S SPRUCE, SISTERS, OR 97759
(541) 549-3583
(541) 549-3583
Mailing address
PO BOX 2178, SISTERS, OR 97759-2178
(541) 549-3583
(541) 549-3583
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
272994
OR
Other
Enumeration date
10/21/2005
Last updated
12/10/2012
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