Provider Demographics
NPI:1841429834
Name:GRICE, COLIN D (DC)
Entity Type:Individual
Prefix:
First Name:COLIN
Middle Name:D
Last Name:GRICE
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 1:821 ELM ST SW
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:OR
Mailing Address - Zip Code:97321-2063
Mailing Address - Country:US
Mailing Address - Phone:541-928-5590
Mailing Address - Fax:541-924-9943
Practice Address - Street 1:821 ELM ST SW
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:OR
Practice Address - Zip Code:97321-2063
Practice Address - Country:US
Practice Address - Phone:541-928-5590
Practice Address - Fax:541-924-9943
Is Sole Proprietor?:No
Enumeration Date:2009-07-10
Last Update Date:2009-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR3941111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic