Rogue River Chiropractic PC
Organization Active NPI Chiropractor · Rogue River, OR
NPI 1114112422 · NPPES record last updated Sep 6, 2023
Key facts
- NPI
- 1114112422
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 3173 (OR)
- Legal business name
- ROGUE RIVER CHIROPRACTIC PC
- Practice address
- 109 W Main St Unit 2
Rogue River, OR 97537-9611 - Phone
- (541) 582-6508
- Fax
- (541) 582-6530
- NPI assigned
- Sep 10, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Noah Gill Jarvie, DC
- Title
- President
- Phone
- (541) 582-6508
Practitioners 3
-
Noah G. Jarvie, D.C.
-
Adrianne Reardon, LMT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040413001181 | OR | Part B Supplier - Clinic/Group Practice | 8527052414 |
Receives reassigned benefits from 1 practitioner Practice locations: Rogue River, OR |
National Provider Directory
Locations
510 E Main St
Rogue River, OR 97537
Phone (541) 450-9272
109 W Main St
Unit 2
Rogue River, OR 97537
Phone (541) 582-6508
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 3173 | OR | Yes |
Addresses
Primary practice location
109 W Main St Unit 2
Rogue River, OR 97537-9611
Mailing address
109 W Main St Unit 2
Rogue River, OR 97537-9611
Phone (541) 582-6508
Other providers in Rogue River, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 6, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.