Organization
HEALTHLETICS CHIROPRACTIC CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH JAMES OKERSTROM DC (CHIROPRACTOR AND MANAGER)
(541) 758-9393
Entity
Organization
Contact information
Practice address
2005 NW GRANT AVE, CORVALLIS, OR 97330-4366
(503) 449-4945
(541) 738-0704
Mailing address
2005 NW GRANT AVE, CORVALLIS, OR 97330-4366
(503) 449-4945
(541) 738-0704
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
3661
OR
Other
Enumeration date
01/09/2007
Last updated
09/05/2007
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