Organization
SAMARITAN CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD ELGIN KOEN JR. DC (CHEIF OFFICER)
(541) 752-0776
Entity
Organization
Contact information
Practice address
634 NW 4TH ST, CORVALLIS, OR 97330-6413
(541) 752-0776
Mailing address
634 NW 4TH ST, CORVALLIS, OR 97330-6413
(541) 752-0776
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
3838
OR
Other
Enumeration date
06/11/2012
Last updated
06/11/2012
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