Organization
CHIROPRACTIC WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES A MINERVINI D.C. (ORGANIZING MEMBER)
(541) 592-6220
Entity
Organization
Contact information
Practice address
202 W. LISTER ST, CAVE JUNCTION, OR 97523
(541) 592-6220
Mailing address
PO BOX 1459, PMB 111, CAVE JUNCTION, OR 97523-1459
(541) 592-9222
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3203
OR
Other
Enumeration date
06/01/2009
Last updated
06/01/2009
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