Organization
OREGON TRAIL CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN C RHUE D.C. (OWNER)
(503) 201-7532
Entity
Organization
Contact information
Practice address
437 NE MAIN ST, ESTACADA, OR 97023-8528
(503) 630-4037
(503) 630-5636
Mailing address
PO BOX 909, BORING, OR 97009-0909
(503) 630-4037
(503) 630-5636
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4059
OR
Other
Enumeration date
07/13/2011
Last updated
04/16/2023
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