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General NPI Number Information
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NPI Number | 1740465491
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Entity Type | Organization
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Legal Business Name | HALCROW CHIROPRACTIC & MASSAGE, PC
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Dates
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Enumeration Date | 12/31/2007
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Last Update Date | 08/07/2013
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Provider Practice Location Address
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Address Line | 365 NE GREENWOOD AVE STE 2
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City | BEND
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State | OR
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Zip | 97701-4628
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Country | US
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Telephone | 541-312-4400
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Fax | 541-318-7019
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Provider Business Mailing Address
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Address Line | 20690 RUSSELL DR
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City | BEND
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State | OR
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Zip | 97701
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Country | US
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Telephone | 541-280-1885
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Fax | 541-318-7019
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DONALD ALEXANDER HALCROW
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Credential | D.C.
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Telephone | 541-280-1885
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 3019
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License Number State | OR
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