Provider Demographics
NPI:1598381360
Name:GENTLE TOUCH CHIROPRACTIC
Entity Type:Organization
Organization Name:GENTLE TOUCH CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LEAD DC, OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:DUTTON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:971-332-5609
Mailing Address - Street 1:3295 TRIANGLE DR SE STE 115
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97302-4566
Mailing Address - Country:US
Mailing Address - Phone:971-332-5609
Mailing Address - Fax:971-332-5732
Practice Address - Street 1:3295 TRIANGLE DR SE STE 115
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97302-4566
Practice Address - Country:US
Practice Address - Phone:971-332-5609
Practice Address - Fax:971-332-5732
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-17
Last Update Date:2023-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty