MEDICARE: GENTLE TOUCH CHIROPRACTIC

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

General Provider Information

NPI Number	:	1598381360
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GENTLE TOUCH CHIROPRACTIC

Provider Business Mailing Address
First Line	:	3295 TRIANGLE DR SE STE 115
Second Line	:
City	:	SALEM
State	:	OR
Zip	:	97302-4566
Country	:	US
Telephone Number	:	971-332-5609
Fax Number	:	971-332-5732

Provider Business Practice Location Address
First Line	:	3295 TRIANGLE DR SE STE 115
Second Line	:
City	:	SALEM
State	:	OR
Zip	:	97302-4566
Country	:	US
Telephone Number	:	971-332-5609
Fax Number	:	971-332-5732

Authorized Official
Title or Position	:	LEAD DC, OWNER
Name	:	MICHAEL DUTTON
Credential	:	DC
Telephone Number	:	971-332-5609

Provider Enumeration Date	:	06/17/2020
Last Update Date	:	01/04/2023

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