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GRANDE RONDE CHIROPRACTIC CLINIC LLC NPI 1780835132


NPI Information

NPI: 1780835132
Provider Name: GRANDE RONDE CHIROPRACTIC CLINIC, LLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
1116 J AVE
LA GRANDE, OR
ZIP 97850
Phone: (541) 963-0339
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GRANDE RONDE CHIROPRACTIC CLINIC, LLC is a chiropractor in La Grande, OR. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. GRANDE RONDE CHIROPRACTIC CLINIC, LLC NPI is 1780835132. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1116 J AVE
LA GRANDE, OR
ZIP 97850-073
Phone: (541) 963-0339
Fax: (541) 663-8882

The provider's authorized official is Casey A Mckeown .
The authorized official title is Owner/chiropractic Physician and has the following contact phone number (541) 963-0339.

The enumeration date for this NPI number is 10/3/2008 and was last updated on 1/11/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor3792OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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