Organization
GRANDE RONDE CHIROPRACTIC CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CASEY A MCKEOWN D.C. (OWNER/CHIROPRACTIC PHYSICIAN)
(541) 963-0339
Entity
Organization
Contact information
Practice address
1116 J AVE, LA GRANDE, OR 97850-2073
(541) 963-0339
(541) 663-8882
Mailing address
1116 J AVE, LA GRANDE, OR 97850-2073
(541) 963-0339
(541) 663-8882
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3792
OR
Other
Enumeration date
10/03/2008
Last updated
01/11/2010
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