Provider Demographics
NPI:1346327095
Name:SALMONS, CHARLES SCOTT (DC)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:SCOTT
Last Name:SALMONS
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:PO BOX 750
Mailing Address - Street 2:531 N. HIGHWAY 101 STE. J
Mailing Address - City:DEPOE BAY
Mailing Address - State:OR
Mailing Address - Zip Code:97341-0750
Mailing Address - Country:US
Mailing Address - Phone:541-765-3200
Mailing Address - Fax:
Practice Address - Street 1:531 NORTH HIGHWAY 101
Practice Address - Street 2:SUITE J
Practice Address - City:DEPOE BAY
Practice Address - State:OR
Practice Address - Zip Code:97341-0750
Practice Address - Country:US
Practice Address - Phone:541-765-3200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OROR2740111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
ORT06515Medicare UPIN
ORR0000QGFRSMedicare ID - Type UnspecifiedMEDICARE ID