Organization
RONALD M CROCKETT BS DC PC
Active
Parent organization
RONALD M CROCKETT BS DC PC
Other names
Crockett Chiropractic Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
RONALD M CROCKETT BS DC PC
Authorized official
DR. RONALD M CROCKETT (PRESIDENT)
(503) 371-9796
Entity
Organization
Contact information
Practice address
4070 MACLEAY RD SE, SALEM, OR 97317-5801
(503) 371-9796
(503) 371-8265
Mailing address
4070 MACLEAY RD SE, SALEM, OR 97317-5801
(503) 371-9796
(503) 371-8265
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1472
OR
Other
Enumeration date
07/05/2006
Last updated
11/16/2012
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