Organization
BOLINE CHIROPRACTIC CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH WAYNE BOLINE D.C. (CHIROPRACTIC PHYSICIAN)
(503) 393-0321
Entity
Organization
Contact information
Practice address
7811 35TH AVE NE, SALEM, OR 97303-9607
(503) 393-0321
Mailing address
7811 35TH AVE NE, SALEM, OR 97303-9607
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
27 1775
OR
Other
Enumeration date
03/29/2007
Last updated
08/22/2020
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