Chance Damon Halvorson

NPI #1114608197 in Medford, Oregon

Provider Information

NPI Number: 1114608197
Entity Type: Individual
Name: Chance Damon Halvorson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Enumeration Date: Jul 31, 2023
Last Updated: Jul 31, 2023

Practice Location

Address: 1251 E MCANDREWS RD STE 102
City: Medford
State: Oregon
ZIP Code: 97504-6497
Phone: (541) 779-6146

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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