Organization
LIFE DISCOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JARED RAY NIELSEN D.C. (PRESIDENT)
(541) 476-3779
Entity
Organization
Contact information
Practice address
841 NE 7TH ST, GRANTS PASS, OR 97526-1634
(541) 476-3779
Mailing address
841 NE 7TH ST, GRANTS PASS, OR 97526-1634
(541) 476-3779
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
27-3386
OR
Other
Enumeration date
06/14/2007
Last updated
08/22/2020
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