Organization
CENTRAL OREGON CHIROPRACTIC LLC
Active
Organization
CENTRAL OREGON CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENT ROOKSTOOL DC (OWNER)
(541) 923-6024
Entity
Organization
Contact information
Practice address
1020 SW INDIAN AVE STE 102, REDMOND, OR 97756-3037
(541) 923-6024
(541) 699-4287
Mailing address
1020 SW INDIAN AVE STE 102, REDMOND, OR 97756-3037
(541) 923-6024
(541) 699-4287
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
5131
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063753861
PERSONAL NPI
OR
Enumeration date
08/21/2015
Last updated
03/21/2016
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