CASCADE CHIROPRACTIC OF SOUTHERN OREGON, LLC (NPI# 1396137295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396137295 |
| Entity Type | Organization |
| Organization Name | CASCADE CHIROPRACTIC OF SOUTHERN OREGON, LLC |
| Practice Address |
745 Ne 7th St Grants Pass OR 97526-1632 |
| Practice Telephone | 5414720500 |
| Practice Fax Number | 5414716285 |
| Mailing Telephone | 5414720500 |
| Mailing Fax Number | 5414716285 |
| Enumeration Date | 2015-03-02 |
| Last Update Date | 2015-12-28 |
| Authorized Official Name | KELSEY REESER (OWNER) |
| Authorized Official Telephone | 5414720500 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | CASCADE CHIROPRACTIC OF SOUTHERN OREGON, LLC | 745 Ne 7th St, Grants Pass, OR 97526 |
| Street Address |
745 NE 7TH ST |
| City | GRANTS PASS |
| State | OR |
| Zip Code | 97526-1632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760412670 | Kelsey Reeser | Chiropractor | 745 Ne 7th St, Grants Pass, OR 97526-1632 | 2006-07-04 |
| 1578755427 | Suzie Nicole Wagner | Massage Therapist | 745 Ne 7th St, Suite 3, Grants Pass, OR 97526 | 2007-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205476777 | Kyla M Mccormick | Peer Specialist | 109 Nw Manzanita Avenue, Grants Pass, OR 97526 | 2020-01-13 |
| 1164076469 | Alicia Yvonne Hansen | Counselor | 1055 Clarey St., Grants Pass, OR 97526 | 2019-07-25 |
| 1841842598 | Michael Liam Reynolds, Dds, LLC | Dentist | 984 Ne 8th Street, Grants Pass Oregon, Grants Pass, OR 97526 | 2019-07-12 |
| 1881254746 | Brandi Mccrorey | Counselor | 418 Ne 6th Street, Suite 102, Grants Pass, OR 97526 | 2019-06-13 |
| 1700364502 | Premier Community Supports, LLC. | Day Training, Developmentally Disabled Services | 1439 Ne 6th St Ste C, Grants Pass, OR 97526 | 2018-08-02 |
| 1821584509 | Stefani Mcintyre | Massage Therapist | 1590 Se N Street, Warehouse #1574, Grants Pass, OR 97526 | 2018-07-06 |
| 1114467438 | Sandra P Martin | Chiropractor | 333 Sw 5th St. Suite B, Grants Pass, OR 97526 | 2017-03-06 |
| 1801347612 | Maci Wageman | Counselor | 1215 Sw G St Grants Pass Oregon 97526, Grants Pass, OR 97526 | 2016-10-17 |
| 1902353907 | Optimal Health of Southern Oregon, LLC | Family Medicine | 1600 Nw 6th St South Suite, Grants Pass, OR 97526 | 2016-09-07 |
| 1982150793 | Tanya White | Counselor | 402 Nw Fstreet, Grants Pass, OR 97526 | 2016-08-31 |
| Find all providers in zip 97526 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538689724 | Keith Emerson Yoho | Chiropractor | 111 Se G St Ste D, Grants Pass, OR 97526-3011 | 2017-06-20 |
| 1114467438 | Sandra P Martin | Chiropractor | 333 Sw 5th St. Suite B, Grants Pass, OR 97526 | 2017-03-06 |
| 1780988261 | Axis Health, Inc. | Chiropractor | 333 Sw 5th St Ste B, Grants Pass, OR 97526-2509 | 2010-12-27 |
| 1528218666 | Ledesma Chiropractic, Inc | Chiropractor | 825 Ne 7th St, Grants Pass, OR 97526-1634 | 2008-09-25 |
| 1861663171 | Health Haven LLC | Chiropractor | 1610 Allen Creek Rd, Suite 101, Grants Pass, OR 97527-5820 | 2008-03-13 |
| 1265600563 | Frank J Hurd | Chiropractor | 3417 Jerome Prairie Rd, Grants Pass, OR 97527 | 2008-02-20 |
| 1558546861 | Adam L. Hendy | Chiropractor | 1873 Williams Hwy Ste 1b, Grants Pass, OR 97527-5843 | 2008-01-04 |
| 1467571760 | Scott W Thorsen | Chiropractor | 1328 Nw 6th St, Grants Pass, OR 97526-1225 | 2007-03-28 |
| 1154459402 | David M Krauss | Chiropractor | 1217 Ne 6th St, Grants Pass, OR 97526-1285 | 2007-02-28 |
| 1073663787 | David R Willing | Chiropractor | 237 Rogue River Hwy, Grants Pass, OR 97527-5445 | 2007-01-12 |
| Find all providers in GRANTS PASS | ||||
| City | GRANTS PASS |
| Zip Code | 97526 |
Please comment or provide details below to improve the information on CASCADE CHIROPRACTIC OF SOUTHERN OREGON, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.