Provider Demographics
NPI:1982089207
Name:DR. JEFF MCNOWN CHIROPRACTIC, P.C.
Entity Type:Organization
Organization Name:DR. JEFF MCNOWN CHIROPRACTIC, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE
Authorized Official - Prefix:MRS
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:MCNOWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-784-7860
Mailing Address - Street 1:141 NW GREENWOOD AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97701-2041
Mailing Address - Country:US
Mailing Address - Phone:541-383-2185
Mailing Address - Fax:
Practice Address - Street 1:141 NW GREENWOOD AVE STE 101
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97701-2041
Practice Address - Country:US
Practice Address - Phone:541-383-2185
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-28
Last Update Date:2015-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR3089261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
ORU78268Medicare UPIN
OR113953Medicare PIN