Provider Demographics
NPI:1376622829
Name:MILROY, DAVID ALLAN (DC, ND)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:ALLAN
Last Name:MILROY
Suffix:
Gender:M
Credentials:DC, ND
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 4353
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97302-8353
Mailing Address - Country:US
Mailing Address - Phone:503-363-6868
Mailing Address - Fax:503-779-1053
Practice Address - Street 1:4555 LIBERTY RD S
Practice Address - Street 2:SUITE 360
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97302-5093
Practice Address - Country:US
Practice Address - Phone:503-363-6868
Practice Address - Fax:503-779-1053
Is Sole Proprietor?:No
Enumeration Date:2006-11-03
Last Update Date:2011-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR273128111N00000X
OR1188175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
ORU75044Medicare UPIN