Individual
DR. RUSSELL A COLGAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1797 LANSING AVE NE, SALEM, OR 97303-1632
(503) 364-5751
(503) 364-4357
Mailing address
1797 LANSING AVE NE, SALEM, OR 97303-1632
(503) 364-5751
(503) 364-4357
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
65 1141
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
025916
—
OR
Enumeration date
05/11/2006
Last updated
07/08/2007
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