Organization Name: | THOMAS DUTCHER D.C., P.C. INC. |
NPI Number: | 1164747762 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | THOMAS DALE DUTCHER (OWNER) |
Mailing Address: | 14605 Se 202nd Ave Damascus |
State: | OR US |
Postal Code: | 97089 |
Phone Number: | 5036582225 |
Fax Number: | 5036584554 |
NPI Enumeration Date: | 04/07/2010 |
NPI Last Update Date: | 01/24/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 2563 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |