MEDICARE: NATURAL ORTHOPEDIC & INTERNAL MEDICINE

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
1	111N00000X	Chiropractor	273128	OR
2	175F00000X	Naturopath	1188	OR

General Provider Information

NPI Number	:	1821257346
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NATURAL ORTHOPEDIC & INTERNAL MEDICINE

Provider Business Mailing Address
First Line	:	PO BOX 4353
Second Line	:
City	:	SALEM
State	:	OR
Zip	:	97302-8353
Country	:	US
Telephone Number	:	503-363-6868
Fax Number	:	503-779-1053

Provider Business Practice Location Address
First Line	:	4555 LIBERTY RD S
Second Line	:	SUITE 360
City	:	SALEM
State	:	OR
Zip	:	97302-5093
Country	:	US
Telephone Number	:	503-363-6868
Fax Number	:	503-779-1053

Authorized Official
Title or Position	:	DOCTOR
Name	:	DR. DAVID A MILROY
Credential	:	ND, DC
Telephone Number	:	503-363-6868

Provider Enumeration Date	:	06/09/2008
Last Update Date	:	10/10/2011

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