Organization Active NPI

PJ Kolker LLC Dba the Blue Giraffe Day Spa

  • Nutrition Chiropractor
  • Ashland, OR
National Provider Identifier
1043479793
Registry record updated Jun 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
3494 Issued in OR
Legal business name
PJ KOLKER LLC DBA THE BLUE GIRAFFE DAY SPA
Practice address
51 Water St
Ashland, OR 97520-1841
Phone
(541) 488-3335
Fax
(541) 488-3337
NPI assigned
Jun 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Miss Joanne Marie Routzon
Title
Admin Coordinator
Phone
(541) 488-3335

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NN1001X 3494 OR Primary

Addresses

Primary practice location

51 Water St
Ashland, OR 97520-1841

Mailing address

51 Water St
Ashland, OR 97520-1841
Phone (541) 488-3335

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1212796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212796800000",
    "number": "1043479793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 WATER ST",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975201841",
            "telephone_number": "541-488-3335",
            "fax_number": "541-488-3337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 WATER ST",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975201841",
            "telephone_number": "541-488-3335",
            "fax_number": "541-488-3337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PJ KOLKER LLC DBA THE BLUE GIRAFFE DAY SPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-07",
        "last_updated": "2008-06-07",
        "status": "A",
        "authorized_official_last_name": "ROUTZON",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "ADMIN COORDINATOR",
        "authorized_official_telephone_number": "541-488-3335",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": "OR",
            "license": "3494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.