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SOUTHERN OREGON CHIROPRACTIC LLC NPI 1891829370


NPI Information

NPI: 1891829370
Provider Name: SOUTHERN OREGON CHIROPRACTIC, LLC

Doing Business As: SOUTHERN OREGON ACUPUNCTURE

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
2931 DOCTORS PARK DR
MEDFORD, OR
ZIP 97504
Phone: (541) 245-4444
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SOUTHERN OREGON CHIROPRACTIC, LLC is a chiropractor in Medford, 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. SOUTHERN OREGON CHIROPRACTIC, LLC NPI is 1891829370. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Southern Oregon Acupuncture.

The provider's business location address is:

2931 DOCTORS PARK DR
MEDFORD, OR
ZIP 97504-127
Phone: (541) 245-4444
Fax: (541) 200-2269

The provider's authorized official is Eric Steven Reed .
The authorized official title is Owner and has the following contact phone number (541) 414-0362.

The enumeration date for this NPI number is 3/15/2007 and was last updated on 2/27/2020.


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
1111N00000XChiropractor273544OREGONYes
2171100000XAcupuncturistNo

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
1023096MEDICAIDOREGON

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: 11/14/2023

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