Individual provider · Type 1 NPI
Inice D. Gough, DC
Chiropractor · Sisters, OR
NPI number
1750575049
Active
Practice location
270 S Spruce
Sisters, OR 97759
Fax (541) 549-3583
Mailing address
PO Box 2178
Sisters, OR 97759-2178
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 27 2994 (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.
Another provider at this address
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About NPI 1750575049
Inice D. Gough, DC's National Provider Identifier is 1750575049, issued on Aug 30, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Sisters, OR. The record was last updated on Mar 17, 2008.