Individual
ROMAN WOLANSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1443 NW 15TH ST, LINCOLN CITY, OR 97367-0591
(541) 994-3430
Mailing address
PO BOX 591, LINCOLN CITY, OR 97367-0591
(541) 994-3430
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1211
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z14445
—
OR
Enumeration date
03/05/2007
Last updated
07/08/2007
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