MEDICARE: DR. JEFFREY KRAHLER DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	5718	OR
2	111N00000X	Chiropractor	60496961	WA
3	111N00000X	Chiropractor	5809	MN

General Provider Information

NPI Number	:	1225476278
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEFFREY KRAHLER DC

Provider Business Mailing Address
First Line	:	PO BOX 850
Second Line	:
City	:	SHERWOOD
State	:	OR
Zip	:	97140-0850
Country	:	US
Telephone Number	:	503-625-0152
Fax Number	:	503-625-0153

Provider Business Practice Location Address
First Line	:	1497 LANCASTER NE
Second Line	:
City	:	SALEM
State	:	OR
Zip	:	97301-1961
Country	:	US
Telephone Number	:	503-588-1155
Fax Number	:	503-589-1155

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/12/2013
Last Update Date	:	03/04/2021

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