Jeryl M Cossette, LMT
Individual provider Active NPI Rehabilitation Chiropractor · Oakridge, OR
NPI 1164627261 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1164627261
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Rehabilitation Chiropractor 111NR0400X
- License
- 6936 (OR)
- Practice address
- 76370 Rock Rd
Oakridge, OR 97463-9541 - Phone
- (541) 782-4416
- NPI assigned
- Jun 19, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6936 | OR | MD | Rehabilitation Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 6936 | OR | Yes |
Addresses
Primary practice location
76370 Rock Rd
Oakridge, OR 97463-9541
Mailing address
76372 Rock Rd
Oakridge, OR 97463-9541
Phone (541) 782-4416
Other providers in Oakridge, OR
- Morgan Scott Barber
- Mitchell Ira Boriskin
- Jodi A Budd
- City of Oakridge
- Jessica Leigh Couey
- Tolulope Dada
- Darcie Gibson
- Green Mountain Medical Clinic PC
- Icco LLC
All providers in Oakridge, OR · Rehabilitation Chiropractor in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.