Organization
BAAAKE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYON BLACKWELL DC (OWNER)
(913) 200-0005
Entity
Organization
Contact information
Practice address
790 ANDERSON AVE, COOS BAY, OR 97420-4627
(541) 224-6230
Mailing address
790 ANDERSON AVE, COOS BAY, OR 97420-4627
(541) 224-6230
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
10/06/2025
Last updated
02/12/2026
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