Provider Demographics
NPI:1013511344
Name:RCC LLC
Entity Type:Organization
Organization Name:RCC LLC
Other - Org Name:RETHWILL CHIROPRACTIC CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRADLEY
Authorized Official - Middle Name:KENT
Authorized Official - Last Name:RETHWILL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:541-604-8917
Mailing Address - Street 1:4820 SW UMATILLA AVE
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:OR
Mailing Address - Zip Code:97756-1984
Mailing Address - Country:US
Mailing Address - Phone:541-604-8917
Mailing Address - Fax:541-604-8917
Practice Address - Street 1:4820 SW UMATILLA AVE
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:OR
Practice Address - Zip Code:97756-1984
Practice Address - Country:US
Practice Address - Phone:541-604-8917
Practice Address - Fax:541-604-8917
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-27
Last Update Date:2022-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty