Organization
CENTRAL OREGON CHIROPRACTIC SERVICE PC
Active
Other names
Madras Chiropractic Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK MELVIN MULLINS D.C. (OWNER/PRESIDENT)
(541) 475-6171
Entity
Organization
Contact information
Practice address
28 NE 12TH ST, MADRAS, OR 97741-1827
(541) 475-6171
(541) 475-6172
Mailing address
28 NE 12TH ST, MADRAS, OR 97741-1827
(541) 475-6171
(541) 475-6172
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
271654
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269480
—
OR
Enumeration date
01/17/2008
Last updated
10/01/2013
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