Organization
YAQUINA CHIROPRACTIC LLC
Active
Other names
Yaquina Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH STANLEY BISHOP D.C. (OWNER)
(541) 264-8138
Entity
Organization
Contact information
Practice address
111 SE DOUGLAS ST, SUITE F-1, NEWPORT, OR 97365
(541) 264-8138
(541) 264-8238
Mailing address
111 SE DOUGLAS ST, SUITE F-1, NEWPORT, OR 97365
(541) 264-8138
(541) 264-8238
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R146211
MEDICARE PTAN
OR
Enumeration date
12/02/2008
Last updated
10/12/2009
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