# OSTEOPATHIC INTEGRATIVE MEDICINE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Osteopathic Consultants
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437919172
- **Authorized official:** DR. MICK JUAREZ DO (PHYSICIAN/PROVIDER)
- **Authorized official phone:** (509) 432-3297

## Contact information

- **Practice address:** 850 SISKIYOU BLVD STE 7, ASHLAND, OR 97520-2125
- **Practice address phone:** (541) 482-0342
- **Practice address fax:** (541) 482-6986
- **Mailing address:** 850 SISKIYOU BLVD STE 7, ASHLAND, OR 97520-2125
- **Mailing address phone:** (541) 482-0342

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | — | NULL | Yes |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/20/2024
- **Last updated:** 09/23/2024