Individual
RICHARD D PAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CHIROPRACTOR
Contact information
Practice address
2270 NE MCDANIEL LN, SUITE A, MCMINNVILLE, OR 97128-3247
(503) 472-2523
Mailing address
2270 NE MCDANIEL LN, SUITE A, MCMINNVILLE, OR 97128-3247
(503) 472-2523
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5694
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27164021
BLUE CROSS BLUE SHIELD
MO
Enumeration date
02/13/2006
Last updated
02/09/2016
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