Individual
DR. KEVIN MARK WOOG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1900 NE DIVISION ST, 106, BEND, OR 97701-3525
(541) 312-5351
(541) 312-5352
Mailing address
61450 DUNCAN LN, BEND, OR 97702-2133
(541) 617-1413
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
273161
OR
Other
Enumeration date
12/21/2006
Last updated
07/08/2007
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