Organization
THE GOOD PLACE NW, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLINT WISSINGER (OWNER)
(503) 877-8902
Entity
Organization
Contact information
Practice address
960 BROADWAY ST NE STE 1, SALEM, OR 97301-1275
(503) 967-6638
(503) 339-7038
Mailing address
960 BROADWAY ST NE STE 1, SALEM, OR 97301-1275
(503) 967-6638
(503) 339-7038
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
11/30/2018
Last updated
11/30/2018
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