MEDICARE: DR. CHARLES SCOTT SALMONS D.C.

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	OR2740	OR

General Provider Information

NPI Number	:	1346327095
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHARLES SCOTT SALMONS D.C.

Provider Business Mailing Address
First Line	:	PO BOX 750
Second Line	:	531 N. HIGHWAY 101 STE. J
City	:	DEPOE BAY
State	:	OR
Zip	:	97341-0750
Country	:	US
Telephone Number	:	541-765-3200
Fax Number	:

Provider Business Practice Location Address
First Line	:	531 NORTH HIGHWAY 101
Second Line	:	SUITE J
City	:	DEPOE BAY
State	:	OR
Zip	:	97341-0750
Country	:	US
Telephone Number	:	541-765-3200
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/01/2006
Last Update Date	:	07/09/2007

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