Individual
MICHAEL M POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
48134 HWY 58, OAKRIDGE, OR 97463-9601
(541) 782-4068
Mailing address
PO BOX 1571, COTTAGE GROVE, OR 97424-0066
(541) 942-8664
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
29-2705
OR
Other
Enumeration date
08/15/2005
Last updated
12/21/2011
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