Healthcare Provider Details

I. General information

NPI: 1356479513
Provider Name (Legal Business Name): GREGORY J ALBRIGHT D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/01/2007
Last Update Date: 07/16/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 MCNARY ESTATES DR. N. STE E
KEIZER OR
97303-7492
US

IV. Provider business mailing address

115 MCNARY ESTATES DR. N. STE E
KEIZER OR
97303-7492
US

V. Phone/Fax

Practice location:
  • Phone: 503-390-5552
  • Fax: 503-390-5994
Mailing address:
  • Phone: 503-390-5552
  • Fax: 503-390-5994

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number3245
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: