Individual
OWEN FORTNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1126 LANCASTER DR NE, SALEM, OR 97301-2933
(503) 362-1002
(503) 362-1006
Mailing address
1126 LANCASTER DR NE, SALEM, OR 97301-2933
(503) 362-1002
(503) 362-1006
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6306
OR
Other
Enumeration date
04/27/2023
Last updated
04/16/2024
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