Provider Demographics
NPI:1265008080
Name:BROGAN, BAILEY (DC)
Entity type:Individual
Prefix:
First Name:BAILEY
Middle Name:
Last Name:BROGAN
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 1:3000 MARKET ST NE STE 266
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97301-1809
Mailing Address - Country:US
Mailing Address - Phone:503-584-1620
Mailing Address - Fax:503-990-6985
Practice Address - Street 1:3000 MARKET ST NE STE 266
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97301-1809
Practice Address - Country:US
Practice Address - Phone:503-584-1620
Practice Address - Fax:503-990-6985
Is Sole Proprietor?:No
Enumeration Date:2021-06-02
Last Update Date:2025-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301011112111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor