Individual
GINA EILERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
21885 HIGHWAY 62, SHADY COVE, OR 97539-9418
(541) 878-3603
(541) 538-5503
Mailing address
1744 E MCANDREWS RD STE D, MEDFORD, OR 97504-5576
(541) 414-0362
(541) 200-2269
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5728
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500787304
—
OR
Enumeration date
07/25/2016
Last updated
05/02/2025
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