Provider Demographics
NPI:1306036306
Name:NORDHUS, LINDA (DC)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:
Last Name:NORDHUS
Suffix:
Gender:F
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:PO BOX 892
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97709-0892
Mailing Address - Country:US
Mailing Address - Phone:541-317-4712
Mailing Address - Fax:541-389-3953
Practice Address - Street 1:501 NE GREENWOOD AVE STE 200
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97701-4639
Practice Address - Country:US
Practice Address - Phone:541-317-4712
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-26
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR71 3747111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor