NORTHWEST SPINE & WELLNESS CENTER, LLC (NPI# 1780012757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780012757 |
Entity Type | Organization |
Organization Name | NORTHWEST SPINE & WELLNESS CENTER, LLC |
Other Organization Name | LOGAN CHIROPRACTIC CENTER |
Practice Address |
835 Bennett Ave Medford OR 97504-6715 |
Practice Telephone | 5417764554 |
Mailing Telephone | 5417764554 |
Enumeration Date | 2013-10-29 |
Last Update Date | 2013-10-29 |
Authorized Official Name | DR. CHARLES MARK LOGAN (MEMBER) |
Authorized Official Telephone | 5417764554 |
Authorized Official Credential | D.C. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111NR0400X |
Chiropractor Specialization: Rehabilitation |
3440 | OR | Chiropractic Providers |
Other Name | Type Code |
---|---|
Logan Chiropractic Center | Doing Business As Name - Organization |
Street Address |
835 BENNETT AVE |
City | MEDFORD |
State | OR |
Zip Code | 97504-6715 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225673833 | Lydia D Sneed | Behavioral Analyst | 3707 Citation Way, Suite 102, Medford, OR 97504 | 2019-11-07 |
1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
1255809109 | Justin Blasdel | Technician, Health Information | 3250 Lone Pine Rd, Medford, OR 97504 | 2018-11-08 |
1396220133 | Aimee K Michel | Massage Therapist | 3550 National Dr., Medford, OR 97504 | 2018-09-27 |
1437646908 | Zola Dental Medford LLC | Dentist | 922 E Main, Medford, OR 97504 | 2018-04-19 |
1376068015 | Megan Leggett | Counselor | 777 Murphy Road, Medford, OR 97504 | 2017-08-03 |
1023547536 | Joshua Morgan Rice | Dentist | 1117 E Main St Ste 1, Medford, OR 97504 | 2017-06-08 |
1427580232 | Paul James Dean | Counselor | 1175 Main St Ste 1c, Medford, OR 97504 | 2017-03-30 |
1811443542 | Taya Adams | Doula | 1201 Progress Dr #90, Medford, OR 97504 | 2016-09-01 |
1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
Find all providers in zip 97504 |
Taxonomy Code | 111NR0400X |
Grouping | Chiropractic Providers |
Classification | Chiropractor |
Specialization | Rehabilitation |
Rehabilitation is the discipline focused on restoring a patient's functional abilities to pre-injury or pre-disease status. Functional abilities are defined as those activities in one's daily life, work, or sports and recreational activities that an individual participates in. Relevant impairments (e.g. strength, endurance, flexibility, motor control, etc.) are often intermediate goals of rehabilitation, but the final goal of successful care is return to participation in activities in which the patient was successful before the onset of the injury or disease. Essential to a rehabilitation approach is a focus on patient-centered outcomes such as independence and self-management or self-care skills. |
Notes: Source: The American Chiropractic Association (ACA) and the ACA Council on Physiological Therapeutics [7/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538225651 | Lu Ann Morrow | Chiropractor | 30 Jackson Rd, Suite A-1, Medford, NJ 08055-9283 | 2007-01-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013529239 | Zui of Chiropractic LLC | Chiropractor | 10700 Sw Beaverton Hillsdale Hwy Rm 321, Beaverton, OR 97005-3019 | 2020-08-19 |
1932734688 | Timothy Brinkman | Chiropractor | 636 Se 84th Ave, Portland, OR 97216-1106 | 2020-03-03 |
1275907388 | Move Better Chiropractic | Chiropractor | 833 N Shaver St, Portland, OR 97227-1250 | 2015-11-30 |
1710313093 | Danyele Jean Ramsey | Chiropractor | 7420 Sw Hunziker St Ste F, Tigard, OR 97223-8242 | 2013-09-18 |
1295001741 | Hess Chiropractic | Chiropractor | 1907 Garden Ave Ste 102, Eugene, OR 97403-1962 | 2012-03-29 |
1326213646 | Andrew Zurek | Chiropractor | 16611 Ne Russell Street, #122, Portland, OR 97230-5900 | 2008-04-28 |
1821267402 | Joyce D. Mcclure, D.c., P.C. | Chiropractor | 3644 Sw Troy St Ste 200, Portland, OR 97219-1662 | 2008-02-27 |
1669661435 | Gerald D. Smalling | Chiropractor | 2119 Portland Rd, Newberg, OR 97132-1362 | 2007-10-17 |
1164627261 | Jeryl M Cossette | Chiropractor | 76370 Rock Rd, Oakridge, OR 97463-9541 | 2007-06-19 |
1639292030 | Carl L. Bonofiglio Jr. | Chiropractor | 13016 Sw Thunderhead Way, Beaverton, OR 97008-6277 | 2007-04-09 |
Find all providers with the same taxonomy |
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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.