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Individual

DR. LARRY L OLIVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
408 NW 7TH ST, CORVALLIS, OR 97330-6308
(541) 757-9933
(541) 757-7713
Mailing address
408 NW 7TH ST, CORVALLIS, OR 97330-6308
(541) 757-9933
(541) 757-7713

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
27-1662
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
269605
OR
Enumeration date
06/30/2005
Last updated
10/11/2007
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