Advanced Sport and Spine Chiropractic LLC

NPI #1962092031 in Pleasant Hill, Oregon

Provider Information

NPI Number: 1962092031
Entity Type: Organization
Organization Name: Advanced Sport and Spine Chiropractic LLC
Primary Specialty: Chiropractor
Enumeration Date: Jan 22, 2021
Last Updated: Jan 25, 2021

Practice Location

Address: 85203 JASPER PARK RD
City: Pleasant Hill
State: Oregon
ZIP Code: 97455-9773
Phone: (541) 852-8806

Authorized Official

Name: JUSTIN CORYELL, DC
Title: OWNER
Phone: (541) 852-8806

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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