Christian H Mathisen Jr., D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

27 2855 Issued in OR

Practice address

24 Crater Lake Ave
Ste 2
Medford, OR 97504-7482

Phone

(541) 535-4111

Fax

(541) 535-5051

NPI assigned

Jun 9, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Chiropractic

Education

Western States College of Chiropractic, 1993

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556582400000",
    "number": "1679577373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 CRATER LAKE AVE",
            "address_2": "STE 2",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975047482",
            "telephone_number": "541-535-4111",
            "fax_number": "541-535-5051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 CRATER LAKE AVE",
            "address_2": "STE 2",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975047482",
            "telephone_number": "541-535-4111",
            "fax_number": "541-535-5051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHISEN",
        "first_name": "CHRISTIAN",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2019-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "27 2855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yula Guadalupe Mata, MA, LPC
• Sara Matar
• Alofaaga Janet Matautia
• Jeremiah Mathews
• Amy Marie Mathis
• Robin Michele Mathy, MSW
• Callie Ann Matos, LPC-R
• Stephanie Matsdorf
• James Francis Matson, PA-C
• Shelby Bryne Matt-Smith, LPC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.