Organization
WILSONVILLE CHIROPRACTIC CLINIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DALE BURT JOHNSTON D.C. (CEO)
(503) 682-9046
Entity
Organization
Contact information
Practice address
30045 SW PARKWAY AVE, WILSONVILLE, OR 97070-9735
(503) 682-9046
(503) 682-9046
Mailing address
PO BOX 691, WILSONVILLE, OR 97070-0691
(503) 682-9046
(503) 682-9046
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1544
OR
Other
Enumeration date
04/02/2009
Last updated
04/02/2009
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