Jacksonville Chiropractic Clinic LLC

NPI #1891015483 in Jacksonville, Oregon

Provider Information

NPI Number: 1891015483
Entity Type: Organization
Organization Name: Jacksonville Chiropractic Clinic LLC
Primary Specialty: Chiropractor
Enumeration Date: Jun 4, 2010
Last Updated: Jun 4, 2010

Practice Location

Address: 580 BLACKSTONE ALY
City: Jacksonville
State: Oregon
ZIP Code: 97530-9007
Phone: (541) 899-2760

Authorized Official

Name: JASON JUDE WILLIAMS, D.C.
Title: CLINIC DIRECTOR
Phone: (541) 899-2760

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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