Organization
SCAPPOOSE CHIROPRACTIC CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY MICHEAL DOMBY DC (OWNER/PRESIDENT)
(503) 543-3195
Entity
Organization
Contact information
Practice address
52481 SW 1ST STREET, SCAPPOOSE, OR 97056
(503) 543-3195
(503) 543-7532
Mailing address
PO BOX 1108, SCAPPOOSE, OR 97056-1108
(503) 543-3195
(503) 543-7532
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
27 2310
OR
Other
Enumeration date
04/11/2008
Last updated
04/11/2008
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