Southern Oregon Hbot LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

SOUTHERN OREGON HBOT LLC

Practice address

1663 Williams Hwy
Grants Pass, OR 97527-5699

Phone

(541) 479-1289

NPI assigned

Jun 24, 2015

Last updated

Feb 5, 2024By 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

Denise Mao, NPNPI 1922588011

Title

Medical Director

Phone

(541) 479-1289

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Denise Mao

  • Family Nurse Practitioner
  • Loma Linda, CA
  • NPI 1922588011
  NPD Authorized official
• Robert Allen Ferrell, DC

  • Chiropractor
  • Central Point, OR
  • NPI 1194305052
  NPD

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

{
    "created_epoch": "1435104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707091200000",
    "number": "1982086054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1663 WILLIAMS HWY",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975275699",
            "telephone_number": "541-479-1289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1663 WILLIAMS HWY",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975275699",
            "telephone_number": "541-479-1289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN OREGON HBOT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-24",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A",
        "authorized_official_last_name": "MAO",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "541-479-1289",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southern Oregon Counseling, LLC
• Southern Oregon Dental L.L.C.
• Southern Oregon Education Service District
• Southern Oregon Education Service District
• Southern Oregon Hbot LLC
• Southern Oregon Holistic Wellness Center LLC
• Southern Oregon in-Home Care, LLC.
• Southern Oregon Medical Practice LLC
• Southern Oregon Orthopedics Inc (Southern Oregon Orthopedics)
• Southern Oregon Pathways LLC

• Specialist in Grants Pass, OR
• Providers in Grants Pass, OR by specialty
• Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; 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.