Northwest Life Chiropractic

NPI #1184121147 in Medford, Oregon

Provider Information

NPI Number: 1184121147
Entity Type: Organization
Organization Name: Northwest Life Chiropractic
Primary Specialty: Chiropractor
Enumeration Date: Apr 6, 2018
Last Updated: Apr 6, 2018

Practice Location

Address: 720 CARDLEY AVE
City: Medford
State: Oregon
ZIP Code: 97504-6124
Phone: (541) 500-8838

Authorized Official

Name: EDWARD MCCULLOUGH, DC
Title: CHIROPRACTIC PHYSICIAN
Phone: (541) 500-8838

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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