Organization
EPIC WELLNESS NW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CALLIE KNIGHT (OWNER/MANAGER)
(541) 770-1606
Entity
Organization
Contact information
Practice address
820 CRATER LAKE AVE, SUITE 113, MEDFORD, OR 97504-6581
(541) 770-1606
Mailing address
820 CRATER LAKE AVE, SUITE 113, MEDFORD, OR 97504-6581
(541) 770-1606
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
225700000X
Massage Therapist
20067
OR
225700000X
Massage Therapist
Primary
20099
OR
Other
Enumeration date
06/16/2015
Last updated
03/22/2017
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