Provider Demographics
NPI:1114900685
Name:FORCE, MARK (DC)
Entity Type:Individual
Prefix:
First Name:MARK
Middle Name:
Last Name:FORCE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-29
Last Update Date:2020-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR5828111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR5828OtherSTATE BOARD LICENSE