Provider Demographics
NPI:1013072420
Name:RUBINSTEIN, ILENE KAREN (DC)
Entity Type:Individual
Prefix:DR
First Name:ILENE
Middle Name:KAREN
Last Name:RUBINSTEIN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:854 A ST
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97520-2022
Mailing Address - Country:US
Mailing Address - Phone:541-488-0688
Mailing Address - Fax:541-488-0644
Practice Address - Street 1:854 A ST
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:OR
Practice Address - Zip Code:97520-2022
Practice Address - Country:US
Practice Address - Phone:541-488-0688
Practice Address - Fax:541-488-0644
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR27 2986111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
ORR102623Medicare ID - Type Unspecified