Provider Demographics
NPI:1679836902
Name:CONTOUR CHIROPRACTIC CLINIC PC
Entity Type:Organization
Organization Name:CONTOUR CHIROPRACTIC CLINIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANN
Authorized Official - Middle Name:MARGARET
Authorized Official - Last Name:LAUZON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:503-336-3335
Mailing Address - Street 1:10150 NW GLENCOE RD
Mailing Address - Street 2:
Mailing Address - City:NORTH PLAINS
Mailing Address - State:OR
Mailing Address - Zip Code:97133-8226
Mailing Address - Country:US
Mailing Address - Phone:503-336-3335
Mailing Address - Fax:503-336-3648
Practice Address - Street 1:10150 NW GLENCOE RD
Practice Address - Street 2:
Practice Address - City:NORTH PLAINS
Practice Address - State:OR
Practice Address - Zip Code:97133-8226
Practice Address - Country:US
Practice Address - Phone:503-336-3335
Practice Address - Fax:503-336-3648
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-21
Last Update Date:2012-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR3711111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty