Provider Demographics
NPI:1912155870
Name:POINT CHIROPRACTIC PC
Entity Type:Organization
Organization Name:POINT CHIROPRACTIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELISE
Authorized Official - Middle Name:
Authorized Official - Last Name:NOLTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:541-617-9771
Mailing Address - Street 1:929 SW SIMPSON AVE STE 140
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97702
Mailing Address - Country:US
Mailing Address - Phone:541-617-9771
Mailing Address - Fax:541-749-2371
Practice Address - Street 1:929 SW SIMPSON AVE STE 140
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97702
Practice Address - Country:US
Practice Address - Phone:541-617-9771
Practice Address - Fax:541-749-2371
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-04
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR27-3407111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty