Provider Demographics
NPI:1376186148
Name:SALGADO-GONZALES, MIGUEL (DC)
Entity Type:Individual
Prefix:
First Name:MIGUEL
Middle Name:
Last Name:SALGADO-GONZALES
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 1:108 E HERSEY ST STE 2A
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97520-1363
Mailing Address - Country:US
Mailing Address - Phone:541-482-3492
Mailing Address - Fax:
Practice Address - Street 1:108 E HERSEY ST STE 2A
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:OR
Practice Address - Zip Code:97520-1363
Practice Address - Country:US
Practice Address - Phone:541-482-3492
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-23
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORCHIA-6171111NR0400X
IDCHIA-1964111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation