Individual
DR. CHARLES E HOLTON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
289 E ELLENDALE AVE, STE 102, DALLAS, OR 97338
(503) 623-3903
(503) 623-3803
Mailing address
289 E ELLENDALE AVE, STE 102, DALLAS, OR 97338
(503) 623-3903
(503) 623-3803
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
0206594
WA
111N00000X
Chiropractor
Primary
1963
OR
Other
Enumeration date
09/25/2006
Last updated
10/04/2011
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