| NPI | 1801644372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY EVANS Owner/Chiropractor 541-484-2225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 111NI0013X Chiropractor, Independent Medical Examiner |
| 111NI0900X Chiropractor, Internist | |
| 111NN1001X Chiropractor, Nutrition | |
| 111NP0017X Chiropractor, Pediatric Chiropractor | |
| 111NR0400X | |
| 111NS0005X Chiropractor, Sports Physician | |
| Enumeration Date | 2024-05-09 |
| Last Update Date | 2024-05-09 |