Jeffery J Moll DC PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

JEFFERY J MOLL DC PC

Practice address

1460 N 1St Ave
Stayton, OR 97383-1212

Phone

(503) 769-5411

NPI assigned

May 18, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jeffery J Moll, DC

Title

Owner President

Phone

(503) 769-5411

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750599536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 531",
            "city": "STAYTON",
            "state": "OR",
            "postal_code": "973830531",
            "telephone_number": "503-769-5411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 N 1ST AVE",
            "city": "STAYTON",
            "state": "OR",
            "postal_code": "973831212",
            "telephone_number": "503-769-5411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERY J MOLL DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOLL",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER  PRESIDENT",
        "authorized_official_telephone_number": "503-769-5411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle M Hurl, PTA
• Brianna Isaac, FNP-C
• Chad Michael Jamison, CPHT
• Jeanne L Fitzpatrick MD PC
• Jeff Van Kirk, DMD, PC
• Morgan E Kilgore, DPT
• Claire E King, MD
• Lisa King, IBCLC
• Lakeside Cottages
• Haley Jo Lambert, LMT

• All providers in Stayton, OR
• 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.