Provider Demographics
NPI:1629319645
Name:TORCHIO, ANDREW NOEL (DC)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:NOEL
Last Name:TORCHIO
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 1:409 NE GREENWOOD AVE STE 120
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97701-4636
Mailing Address - Country:US
Mailing Address - Phone:541-728-0954
Mailing Address - Fax:
Practice Address - Street 1:409 NE GREENWOOD AVE
Practice Address - Street 2:STE#120
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97701
Practice Address - Country:US
Practice Address - Phone:814-449-8749
Practice Address - Fax:541-728-0956
Is Sole Proprietor?:No
Enumeration Date:2013-03-15
Last Update Date:2018-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR5098111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor