Provider Demographics
NPI:1144373366
Name:HALCROW, CHRISTINE (DC)
Entity type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:
Last Name:HALCROW
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:365 NE GREENWOOD AVE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97701-4628
Mailing Address - Country:US
Mailing Address - Phone:541-312-4400
Mailing Address - Fax:
Practice Address - Street 1:365 NE GREENWOOD AVE
Practice Address - Street 2:SUITE 2
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97701-4628
Practice Address - Country:US
Practice Address - Phone:541-312-4400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR3022111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor