Individual
BONNIE MALONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
16190 HIGHWAY 126, SISTERS, OR 97759
(541) 549-7141
(541) 549-7142
Mailing address
PO BOX 718, SISTERS, OR 97759-0718
(541) 549-7141
(541) 549-7142
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
1681
OR
111NX0800X
Orthopedic Chiropractor
Primary
1681
OR
Other
Enumeration date
10/26/2006
Last updated
09/15/2010
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