Individual
DR. ANNE MARIE VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
7370 HWY 238, JACKSONVILLE, OR 97530
(541) 899-9467
(541) 899-9467
Mailing address
PO BOX 9, JACKSONVILLE, OR 97530
(541) 899-9467
(541) 899-9467
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
1080
TN
111N00000X
Chiropractor
18956
CA
111N00000X
Chiropractor
Primary
2305
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
167239
BLUE CROSS BLUE SHIELD
—
Enumeration date
03/13/2007
Last updated
12/28/2012
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