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NPI Code Detail

MEDICARE: KEARNS CHIROPRACTIC CLINIC INC

MEDICARE: KEARNS CHIROPRACTIC CLINIC INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor4120OR

General Provider Information

NPI Number : 1629514815
Entity Type Code : Organization
Provider Name (Legal Business Name) : KEARNS CHIROPRACTIC CLINIC INC
Provider Business Mailing Address
First Line : 2214 NE MCDONALD LN
Second Line :
City : MCMINNVILLE
State : OR
Zip : 97128-2702
Country : US
Telephone Number : 503-434-6603
Fax Number : 503-434-6746
Provider Business Practice Location Address
First Line : 2214 NE MCDONALD LN
Second Line :
City : MCMINNVILLE
State : OR
Zip : 97128-2702
Country : US
Telephone Number : 503-434-6603
Fax Number : 503-434-6746
Authorized Official
Title or Position : PRESIDENT/DOCTOR OF CHIROPRACTIC
Name : DR. CRESSIE KEARNS
Credential : D.C.
Telephone Number : 503-434-6603
Provider Enumeration Date : 01/11/2017
Last Update Date : 11/07/2018

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Directions to “KEARNS CHIROPRACTIC CLINIC INC ” Practice Location

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