DR. Shane Alan Gofourth, D.C.

NPI #1861427627 in Veneta, Oregon

Provider Information

NPI Number: 1861427627
Entity Type: Individual
Name: DR. Shane Alan Gofourth, D.C.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: Jul 11, 2006
Last Updated: Jun 14, 2019

Practice Location

Address: 88124 TERRITORIAL RD.
City: Veneta
State: Oregon
ZIP Code: 97487
Phone: (541) 935-2242

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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