Individual
DR. JESSE OWEN BROCKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
679 E HARBOR DR, # 140, WARRENTON, OR 97146-9717
(503) 861-1661
(503) 861-0254
Mailing address
PO BOX 576, WARRENTON, OR 97146-0576
(503) 861-1661
(503) 861-0254
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5008
OR
Other
Enumeration date
09/27/2011
Last updated
06/03/2016
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