AMON CHIROPRACTIC LLC NPI 1770778664

NPI Information

  • NPI: 1770778664
  • Provider Name: AMON CHIROPRACTIC LLC
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Doing Business As: STATELINE CHIROPRACTIC
  • CLIA Number: 38D2071462
  • Address: 85458 HWY 11
    MILTON FREEWATER, OR
    ZIP 97862
  • Phone: (541) 938-8300

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NPI Details

AMON CHIROPRACTIC LLC is a chiropractor in Milton Freewater, OR. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. AMON CHIROPRACTIC LLC NPI is 1770778664. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Stateline Chiropractic.

The provider's business location address is:

85458 HWY 11
MILTON FREEWATER, OR
ZIP 97862
Phone: (541) 938-8300
Fax: (541) 938-3424

The provider's authorized official is Brandon L Hatch .
The authorized official title is Doctor Of Chiropractic Owner and has the following contact phone number (541) 938-8300.

The CLIA number assigned to this NPI record is 38D2071462 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/13/2007 and was last updated on 11/20/2007.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor273489OREGONYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1U99280MEDICARE 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: 11/21/2025

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