Provider Demographics
NPI:1689065211
Name:HOYT CHIROPRACTIC CLINIC
Entity Type:Organization
Organization Name:HOYT CHIROPRACTIC CLINIC
Other - Org Name:PURPLE SAGE CORPORATION
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:HOY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:541-791-7551
Mailing Address - Street 1:1113 HILL ST SE
Mailing Address - Street 2:SUITE H
Mailing Address - City:ALBANY
Mailing Address - State:OR
Mailing Address - Zip Code:97322-3295
Mailing Address - Country:US
Mailing Address - Phone:541-791-7551
Mailing Address - Fax:541-727-5350
Practice Address - Street 1:1113 HILL ST SE
Practice Address - Street 2:SUITE H
Practice Address - City:ALBANY
Practice Address - State:OR
Practice Address - Zip Code:97322-3295
Practice Address - Country:US
Practice Address - Phone:541-791-7551
Practice Address - Fax:541-727-5350
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HOYT CHIROPRACTIC CLINIC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-02-18
Last Update Date:2015-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1215111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty