Provider Demographics
NPI:1497812747
Name:JEFFREY, ROBERT ANDREW (DC)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:ANDREW
Last Name:JEFFREY
Suffix:
Gender:M
Credentials:DC
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Mailing Address - Street 1:1470 SW KNOLL AVE
Mailing Address - Street 2:SUITE 103 ADVANCED DISC AND SPINE HEALTH LLC
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97702
Mailing Address - Country:US
Mailing Address - Phone:541-318-1632
Mailing Address - Fax:541-312-3198
Practice Address - Street 1:1470 SW KNOLL AVE
Practice Address - Street 2:SUITE 103 ADVANCED DISC AND SPINE HEALTH LLC
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97702
Practice Address - Country:US
Practice Address - Phone:541-318-1632
Practice Address - Fax:541-312-3198
Is Sole Proprietor?:No
Enumeration Date:2007-01-03
Last Update Date:2022-11-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OR3675111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
U89202Medicare UPIN