Organization
PURE LIFE CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER L NYBERG D.C. (OWNER)
(541) 343-5633
Entity
Organization
Contact information
Practice address
1400 VALLEY RIVER DR STE 260, EUGENE, OR 97401-6760
(541) 343-5633
(541) 762-5633
Mailing address
1400 VALLEY RIVER DR STE 260, EUGENE, OR 97401-6760
(541) 343-5633
(541) 762-5633
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
3808
OR
111N00000X
Chiropractor
Primary
—
—
171100000X
Acupuncturist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1508924523
NPI (NATIONAL PROVIDER IDENTIFICATION)
—
Enumeration date
12/06/2010
Last updated
03/18/2022
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