Shady Cove Chiropractic and Massage, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

SHADY COVE CHIROPRACTIC AND MASSAGE, LLC

Practice address

21885 Or-62
Shady Cove, OR 97539

Phone

(541) 878-3603

NPI assigned

May 25, 2018

Last updated

May 25, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rachelle Sinclair

Title

Cfo

Phone

(541) 690-4166

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1527206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527206400000",
    "number": "1811488851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1744 E MCANDREWS RD STE D",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975045576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21885 OR-62",
            "city": "SHADY COVE",
            "state": "OR",
            "postal_code": "97539",
            "telephone_number": "541-878-3603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHADY COVE CHIROPRACTIC AND MASSAGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-25",
        "last_updated": "2018-05-25",
        "status": "A",
        "authorized_official_last_name": "SINCLAIR",
        "authorized_official_first_name": "RACHELLE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "541-690-4166"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luke B Murphy, DMD
• Optimal Behavioral Health
• Ryan Stuart Price, MA, LPC
• Kelsey Reed, RDH
• Rogue Community Health
• Shady Cove Chiropractic, LLC
• Shady Cove Family Dentistry
• Sisters of Providence in Oregon (PMG South Shady Cove)
• Shane Smedley, QMHA-R, CRM, PSS-AD
• Ann Marie Sprague, DPT

• Chiropractor in Shady Cove, OR
• Providers in Shady Cove, OR by specialty
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2018; 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.