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Organization

INTEGRATED BODY THERAPEUTICS LLC

Active
Other names
Newport Chiropractic
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KENNETH STANLEY BISHOP D.C. (SOLE MEMBER LLC/PHYCIAN)
(541) 265-8680
Entity
Organization

Contact information

Practice address
344 SW 7TH ST, SUITE D, NEWPORT, OR 97365
(541) 265-8680
(541) 265-9595
Mailing address
344 SW 7TH ST, SUITE D, NEWPORT, OR 97365
(541) 265-8680
(541) 265-9595

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
3854
OR
261QM1300X
Multi-Specialty Clinic/Center
817822-95
OR
261QM1300X
Multi-Specialty Clinic/Center
Primary

Other

Enumeration date
12/14/2011
Last updated
01/24/2024
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