The Good Place Nw, INC

NPI #1538639620 in Salem, Oregon

Provider Information

NPI Number: 1538639620
Entity Type: Organization
Organization Name: The Good Place Nw, INC
Primary Specialty: Chiropractor
Enumeration Date: Nov 30, 2018
Last Updated: Nov 30, 2018

Practice Location

Address: 960 BROADWAY ST NE STE 1
City: Salem
State: Oregon
ZIP Code: 97301-1275
Phone: (503) 967-6638

Authorized Official

Name: CLINT WISSINGER
Title: OWNER
Phone: (503) 877-8902

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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