Provider Demographics
NPI:1205833969
Name:HUTCHESON, ALLEN MCCASLIN (DC, LMT)
Entity Type:Individual
Prefix:DR
First Name:ALLEN
Middle Name:MCCASLIN
Last Name:HUTCHESON
Suffix:
Gender:M
Credentials:DC, LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:977 ROYAL AVE
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:OR
Mailing Address - Zip Code:97504-6140
Mailing Address - Country:US
Mailing Address - Phone:541-245-4444
Mailing Address - Fax:
Practice Address - Street 1:977 ROYAL AVE
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:OR
Practice Address - Zip Code:97504-6140
Practice Address - Country:US
Practice Address - Phone:541-245-4444
Practice Address - Fax:541-245-4443
Is Sole Proprietor?:No
Enumeration Date:2005-07-07
Last Update Date:2017-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR5644225700000X
OR3516111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist