Individual
DR. CHRISTIAN H MATHISEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
24 CRATER LAKE AVE, STE 2, MEDFORD, OR 97504-7482
(541) 535-4111
(541) 535-5051
Mailing address
24 CRATER LAKE AVE, STE 2, MEDFORD, OR 97504-7482
(541) 535-4111
(541) 535-5051
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
27 2855
OR
Other
Enumeration date
06/09/2005
Last updated
04/30/2019
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