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GRANTS PASS CHIROPRACTIC CLINIC PC NPI 1023366705


NPI Information

NPI: 1023366705
Provider Name: GRANTS PASS CHIROPRACTIC CLINIC, PC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
1103 NE 7TH ST
GRANTS PASS, OR
ZIP 97526
Phone: (541) 479-1982
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GRANTS PASS CHIROPRACTIC CLINIC, PC is a clinic center in Grants Pass, OR. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). GRANTS PASS CHIROPRACTIC CLINIC, PC NPI is 1023366705. The provider is registered as an organization entity type.

The provider's business location address is:

1103 NE 7TH ST
GRANTS PASS, OR
ZIP 97526-421
Phone: (541) 479-1982
Fax: (541) 479-0621

The provider's authorized official is Edward Welch .
The authorized official title is President Of Corporation and has the following contact phone number (541) 479-1982.

The enumeration date for this NPI number is 8/28/2012 and was last updated on 8/28/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/Center1547OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1115703MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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