Organization
INTEGRATIVE CONSULTING LLC
Active
Parent organization
INTEGRATIVE CONSULTING LLC
Other names
Siskiyou Pain Consultants
Organization subpart
Yes
Provider details
NPI number
Legal business name
INTEGRATIVE CONSULTING LLC
Authorized official
JOSHUA RYAN GRANER LAC (DIRECTOR)
(541) 708-1595
Entity
Organization
Contact information
Practice address
730 BIDDLE RD STE A, MEDFORD, OR 97504-6116
(541) 708-1595
(541) 833-5008
Mailing address
PO BOX 1003, ASHLAND, OR 97520-0034
(775) 250-8110
(541) 482-0964
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
—
171100000X
Acupuncturist
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
225700000X
Massage Therapist
—
—
Other
Enumeration date
08/24/2015
Last updated
02/06/2020
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