Provider Demographics
NPI:1154669711
Name:GENTRY, SOLON CHASE (DC)
Entity Type:Individual
Prefix:DR
First Name:SOLON
Middle Name:CHASE
Last Name:GENTRY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1585 N PACIFIC HWY
Mailing Address - Street 2:
Mailing Address - City:WOODBURN
Mailing Address - State:OR
Mailing Address - Zip Code:97071-3674
Mailing Address - Country:US
Mailing Address - Phone:503-981-1155
Mailing Address - Fax:503-981-0066
Practice Address - Street 1:1585 N PACIFIC HWY
Practice Address - Street 2:
Practice Address - City:WOODBURN
Practice Address - State:OR
Practice Address - Zip Code:97071-3674
Practice Address - Country:US
Practice Address - Phone:503-981-1155
Practice Address - Fax:503-981-0066
Is Sole Proprietor?:No
Enumeration Date:2013-01-16
Last Update Date:2013-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR5078111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation