Harvard Chiropractic Clinic, P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

27-2817 Issued in OR

Legal business name

HARVARD CHIROPRACTIC CLINIC, P.C.

Practice address

2365 W Harvard Ave
Roseburg, OR 97470-2570

Phone

(541) 673-8270

Fax

(541) 673-0283

NPI assigned

Aug 11, 2006

Organization subpart

No

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

Authorized official

Name

Dr. James E Medak, D.C.

Title

Owner/Director

Phone

(541) 673-8270

Specialties & licenses 2

Addresses

Practitioners 1

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

• Sandra Lynn Medak, D.C.

  • Chiropractor
  • Roseburg, OR
  • NPI 1265482442
  NPD (past)

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093727034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2365 W HARVARD AVE",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974702570",
            "telephone_number": "541-673-8270",
            "fax_number": "541-673-0283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2365 W HARVARD AVE",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974702570",
            "telephone_number": "541-673-8270",
            "fax_number": "541-673-0283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARVARD CHIROPRACTIC CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MEDAK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "541-673-8270",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "27-2817",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "27-2877",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kerry Lyn Harrington, PA-C
• Austin James Harris, DC
• Kendra Harris
• Lori Ann Hart, APRN
• Galen V Hartzell, MSW
• Harvard Counseling Center
• Harvard Endodontics, LLC
• Harvard Lab & X-Ray, Inc
• Nicholas James Harvey
• Debra Hash

• Chiropractor in Roseburg, OR
• Providers in Roseburg, OR by specialty
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.