Organization
PRO SPINE AND SPORT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COREY O'NEILL (OWNER/PHYSICIAN)
(541) 944-8404
Entity
Organization
Contact information
Practice address
62 N 3RD ST, CENTRAL POINT, OR 97502-2025
(541) 727-7867
(541) 727-7868
Mailing address
PO BOX 5267, CENTRAL POINT, OR 97502-0051
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
5507
OR
Other
Enumeration date
05/12/2015
Last updated
10/28/2025
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