Individual
DR. DALE JERSOME ELLWEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1462 NE CUSHING DR STE 180, BEND, OR 97701-9103
(541) 241-5072
Mailing address
1462 NE CUSHING DR STE 250, BEND, OR 97701-9102
(541) 241-5072
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
21958
CA
Other
Enumeration date
05/22/2007
Last updated
03/08/2022
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