Organization
JACKSONVILLE CHIROPRACTIC CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON JUDE WILLIAMS D.C. (CLINIC DIRECTOR)
(541) 899-2760
Entity
Organization
Contact information
Practice address
580 BLACKSTONE ALY, JACKSONVILLE, OR 97530-9007
(541) 899-2760
(541) 899-2760
Mailing address
PO BOX 1077, JACKSONVILLE, OR 97530-1077
(541) 899-2760
(541) 899-2760
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3206
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
274976
—
OR
Enumeration date
06/04/2010
Last updated
06/04/2010
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