Provider Demographics
NPI:1588645626
Name:REED, ERIC STEVEN (DC)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:STEVEN
Last Name:REED
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:PO BOX 3160
Mailing Address - Street 2:
Mailing Address - City:CENTRAL POINT
Mailing Address - State:OR
Mailing Address - Zip Code:97502-0006
Mailing Address - Country:US
Mailing Address - Phone:541-414-0362
Mailing Address - Fax:541-200-2269
Practice Address - Street 1:2931 DOCTORS PARK DR
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:OR
Practice Address - Zip Code:97504-8127
Practice Address - Country:US
Practice Address - Phone:541-414-0362
Practice Address - Fax:541-200-2269
Is Sole Proprietor?:No
Enumeration Date:2005-11-07
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR713544111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR023096Medicaid
OR612182200OtherUS DEPT OF LABOR
OR5589753OtherFIRST HEALTH
OR856434001OtherBLUE CROSS BLUE SHIELD
OR61218220OtherSAIF
ORP00211392OtherPALLMETTO MEDICARE