Grande Ronde Chiropractic Clinic, LLC

NPI #1780835132 in La Grande, Oregon

Provider Information

NPI Number: 1780835132
Entity Type: Organization
Organization Name: Grande Ronde Chiropractic Clinic, LLC
Primary Specialty: Chiropractor
Enumeration Date: Oct 3, 2008
Last Updated: Jan 11, 2010

Practice Location

Address: 1116 J AVE
City: La Grande
State: Oregon
ZIP Code: 97850-2073
Phone: (541) 963-0339

Authorized Official

Name: DR. CASEY A MCKEOWN, D.C.
Title: OWNER/CHIROPRACTIC PHYSICIAN
Phone: (541) 963-0339

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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