Provider Demographics
NPI:1053440909
Name:ELEMENTS OF HEALTH OREGON, LLC
Entity Type:Organization
Organization Name:ELEMENTS OF HEALTH OREGON, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:CAMPBELL
Authorized Official - Last Name:FORCE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:541-633-4633
Mailing Address - Street 1:525 A ST STE 3
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97520-2098
Mailing Address - Country:US
Mailing Address - Phone:541-633-4633
Mailing Address - Fax:541-887-6133
Practice Address - Street 1:525 A ST STE 3
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:OR
Practice Address - Zip Code:97520-2098
Practice Address - Country:US
Practice Address - Phone:541-633-4633
Practice Address - Fax:541-887-6133
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-05
Last Update Date:2021-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR5828OtherSTATE BOARD ID NUMBER