Individual
JULIE A MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
632 ANDERSON AVE, COOS BAY, OR 97420-1632
(541) 269-2525
Mailing address
632 ANDERSON AVE, COOS BAY, OR 97420-1632
(541) 269-2525
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3739
OR
Other
Enumeration date
11/19/2007
Last updated
11/25/2007
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