Individual
DR. DALE R MARCUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
12425 NE GLISAN ST STE B, PORTLAND, OR 97230-2144
(503) 235-7130
Mailing address
12425 NE GLISAN ST STE B, PORTLAND, OR 97230-2144
(503) 235-7130
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
273409
OR
Other
Enumeration date
11/30/2006
Last updated
07/08/2007
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