Individual provider · Type 1 NPI

Mark T. Drentlaw, DC

Chiropractor · Sutherlin, OR

NPI number 1073765137 Active

Practice location

325 Park Hill Ln
Sutherlin, OR 97479-9022

Fax (541) 802-1042

Specialties and licenses

TaxonomyCodeLicense
Chiropractor 111N00000X2294 (TN)
Chiropractor Primary 111N00000X6100 (OR)

Chiropractor: 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.

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About NPI 1073765137

Mark T. Drentlaw, DC's National Provider Identifier is 1073765137, issued on Oct 21, 2008. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Sutherlin, OR. The record was last updated on Oct 8, 2020.