Individual
DR. FRANK THOMAS HERESCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
408 NW 7TH ST, CORVALLIS, OR 97330-6308
(541) 757-9933
(541) 757-7713
Mailing address
408 NW 7TH ST, CORVALLIS, OR 97330-6308
(541) 757-9933
(541) 757-7713
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
27-1620
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008172
—
OR
Enumeration date
06/30/2005
Last updated
10/11/2007
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