Organization
SPRINGWATER CHIROPRACTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN JOHN PROM DC (PRESIDENT OWNER)
(503) 465-9100
Entity
Organization
Contact information
Practice address
1659 NE MARKET DRIVE, FAIRVIEW, OR 97024-3867
(503) 465-9100
(503) 665-2290
Mailing address
1659 NE MARKET DRIVE, FAIRVIEW, OR 97024-3867
(503) 465-9100
(503) 665-2290
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
04/25/2008
Last updated
04/25/2008
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