Provider Demographics
NPI:1083023691
Name:ARBOR CHIROPRACTIC
Entity Type:Organization
Organization Name:ARBOR CHIROPRACTIC
Other - Org Name:SHAWN ARBOR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHAWN
Authorized Official - Middle Name:
Authorized Official - Last Name:ARBOR
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:541-484-0105
Mailing Address - Street 1:401 E 10TH AVE
Mailing Address - Street 2:SUITE 320
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401
Mailing Address - Country:US
Mailing Address - Phone:541-484-0105
Mailing Address - Fax:
Practice Address - Street 1:401 E 10TH AVE
Practice Address - Street 2:SUITE 320
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401
Practice Address - Country:US
Practice Address - Phone:541-484-0105
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-07
Last Update Date:2014-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR3421111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty