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Contact Information

THEODORE L FORCUM III, DC
3990 ABBEY LANE, B-102
ASTORIA, OR97103
 Phone: 503-816-6581
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Physician

111NS0005X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for THEODORE L FORCUM III · (Male)

NPI Number 1346298957
Status Active
Credentials DC (Doctor of Chiropractic)
Entity Individual
Enumeration date 05/05/2006
Last updated 03/09/2017 - About 9 years ago
Sole proprietor 1 Yes
Identifiers
  • OR License # 272468
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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