Provider Demographics
NPI:1922117118
Name:JOYNT, BRIAN J
Entity Type:Individual
Prefix:
First Name:BRIAN
Middle Name:J
Last Name:JOYNT
Suffix:
Gender:M
Credentials:
Other - Prefix:DR
Other - First Name:BRIAN
Other - Middle Name:J
Other - Last Name:JOYNT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:629 CLAY ST E
Mailing Address - Street 2:
Mailing Address - City:MONMOUTH
Mailing Address - State:OR
Mailing Address - Zip Code:97361-2402
Mailing Address - Country:US
Mailing Address - Phone:503-837-0550
Mailing Address - Fax:503-837-0503
Practice Address - Street 1:629 CLAY ST E
Practice Address - Street 2:
Practice Address - City:MONMOUTH
Practice Address - State:OR
Practice Address - Zip Code:97361-2402
Practice Address - Country:US
Practice Address - Phone:503-837-0550
Practice Address - Fax:503-837-0503
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2013-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR71-3659111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
V09830Medicare UPIN
R135010Medicare PIN