Individual
BRIAN JARED SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
329 S IVY ST, MEDFORD, OR 97501-3174
(541) 897-4055
Mailing address
329 S IVY ST, MEDFORD, OR 97501-3174
(541) 897-4055
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5526
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500667962
—
OR
Enumeration date
12/01/2006
Last updated
03/06/2015
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