Main Street Chiropractic LLC

NPI #1336301456 in Lebanon, Oregon

Provider Information

NPI Number: 1336301456
Entity Type: Organization
Organization Name: Main Street Chiropractic LLC
Primary Specialty: Chiropractor
Enumeration Date: Jun 30, 2008
Last Updated: Jun 30, 2008

Practice Location

Address: 727 S MAIN ST
City: Lebanon
State: Oregon
ZIP Code: 97355-3209
Phone: (541) 258-6744

Authorized Official

Name: DR. LESLIE CLARENCE PULLEN, D.C.
Title: CHIROPRACTOR/PRESIDENT
Phone: (541) 258-6744

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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