| NPI | 1053614586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER L NYBERG Owner 541-343-5633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 171100000X Acupuncturist |
| 111N00000X Chiropractor (Licence: OR 3808) | |
| Enumeration Date | 2010-12-06 |
| Last Update Date | 2022-03-18 |