Inactive

NPI #1164794442 in Oregon City, Oregon

Provider Information

NPI Number
1164794442
Entity Type
Organization
Organization Name
Inactive
Primary Specialty
Chiropractor
Enumeration Date
Feb 2, 2012
Last Updated
Sep 30, 2016

Practice Location

Address
14890 FORSYTHE RD
State
Oregon
ZIP Code
97045-9417
Phone
(971) 219-3588

Authorized Official

Name
DOKKEN HAWTHORNE RAMEY, DC
Title
OWNER/ PRESIDENT
Phone
(971) 219-3588

Specialties & Taxonomy Codes

Specialty
Chiropractor

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