Individual provider · Type 1 NPI
Shane Alan Gofourth, DC
Chiropractor · Veneta, OR
NPI number
1861427627
Active
Practice location
88124 Territorial Rd.
Veneta, OR 97487
Fax (541) 935-2242
Mailing address
PO Box 1108
Veneta, OR 97487-1108
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 27 3292 (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.
Other chiropractor providers in Veneta
About NPI 1861427627
Shane Alan Gofourth, DC's National Provider Identifier is 1861427627, issued on Jul 11, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Veneta, OR. The record was last updated on Jun 14, 2019.