Individual
CHADWICK MOYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1004 E JACKSON ST, MEDFORD, OR 97504-7027
(541) 200-2267
(541) 200-3105
Mailing address
730 BIDDLE RD, MEDFORD, OR 97504-6116
(541) 708-1595
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00697
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1316237829
NPI
OR
01
—
1417536202
NPI
OR
01
—
AC00697
OREGON LICENSURE
OR
Enumeration date
04/18/2011
Last updated
04/07/2021
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