SearchOregon111N00000X

Shane Gofourth, D.C

NPI 1861427627 · on the registry since 2006 · sole proprietor

Practice

Address
88124 Territorial Rd.
Veneta, OR 97487
Phone
(541) 935-2242
Fax
(541) 935-2242

Registry record

Primary taxonomy
111N00000X
111N00000X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-06-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon