Provider Demographics
NPI:1952598138
Name:DR LINDA NORDHUS DC LLC
Entity Type:Organization
Organization Name:DR LINDA NORDHUS DC LLC
Other - Org Name:DR. LINDA NORDHUS, DC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIROPRACTIC PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:NORDHUS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:541-317-4712
Mailing Address - Street 1:PO BOX 892
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97709-0892
Mailing Address - Country:US
Mailing Address - Phone:541-317-4712
Mailing Address - Fax:541-389-3953
Practice Address - Street 1:501 NE GREENWOOD AVE STE 200
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97701-4639
Practice Address - Country:US
Practice Address - Phone:541-317-4712
Practice Address - Fax:541-389-3953
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-01
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR713747261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care