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Organization

COOS BAY CHIROPRACTIC & WELLNESS CENTER INC

Active
Other names
Coos Bay Chiropractic and Wellness Center
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RICK CHARLES WHITE M.D. (OWNER)
(541) 808-9285
Entity
Organization

Contact information

Practice address
1611 VIRGINIA AVE, STE 117, NORTH BEND, OR 97459-2729
(541) 808-9285
(541) 808-9287
Mailing address
1611 VIRGINIA AVE, BOX 414, NORTH BEND, OR 97459-2729
(541) 808-9285
(541) 808-9287

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3170
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1174699680
NPI
OR
Enumeration date
08/29/2008
Last updated
08/09/2016
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