=====================================================
General NPI Number Information
=====================================================
NPI Number | 1053403113
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | TOMAS P MCFIE DC PC
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/28/2006
-----------------------------------------------------
Last Update Date | 02/04/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1124 LANCASTER DRIVE NE
-----------------------------------------------------
City | SALEM
-----------------------------------------------------
State | OR
-----------------------------------------------------
Zip | 97301
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 503-581-9200
-----------------------------------------------------
Fax | 503-581-9206
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7871 DARLING STREET SE
-----------------------------------------------------
City | SALEM
-----------------------------------------------------
State | OR
-----------------------------------------------------
Zip | 97317
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 503-588-8657
-----------------------------------------------------
Fax | 503-588-8657
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number | 272231
-----------------------------------------------------
License Number State | OR
-----------------------------------------------------