Provider Demographics
NPI:1558706994
Name:2CHIROSMISSION CHIROPRACTIC CENTER LLC
Entity Type:Organization
Organization Name:2CHIROSMISSION CHIROPRACTIC CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR AND CHIEF DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:NOEL
Authorized Official - Last Name:TORCHIO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:814-449-8749
Mailing Address - Street 1:63363 SILVIS RD
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97701-9743
Mailing Address - Country:US
Mailing Address - Phone:814-449-8749
Mailing Address - Fax:
Practice Address - Street 1:409 NE GREENWOOD AVE STE 120
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97701-4636
Practice Address - Country:US
Practice Address - Phone:800-775-6000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-29
Last Update Date:2018-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR5098111N00000X
OR5130111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty