Individual
DR. JORDAN L MICHELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2960 ADAMS ST, EUGENE, OR 97405-2372
(541) 687-9528
(708) 851-9528
Mailing address
2960 ADAMS ST, EUGENE, OR 97405-2372
(541) 687-9528
(708) 851-9528
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
271739
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
J2253 01
PACIFIC SOURCE
OR
Enumeration date
02/14/2007
Last updated
07/08/2007
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