Organization
ACTIVE HEALTH CHIROPRACTIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JARED LEE DANCE D.C. (OWNER)
(541) 664-5566
Entity
Organization
Contact information
Practice address
1217 PLAZA BLVD STE E, CENTRAL POINT, OR 97502-2682
(541) 664-5566
Mailing address
1217 PLAZA BLVD STE E, CENTRAL POINT, OR 97502-2682
(541) 664-5566
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3555
OR
Other
Enumeration date
01/20/2011
Last updated
01/20/2011
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