MEDICARE: JASON M. KREMER D.C., CSCS

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	713681	OR

General Provider Information

NPI Number	:	1245321082
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JASON M. KREMER D.C., CSCS

Provider Business Mailing Address
First Line	:	1693 SW CHANDLER AVE STE 280
Second Line	:
City	:	BEND
State	:	OR
Zip	:	97702-3231
Country	:	US
Telephone Number	:	541-318-1000
Fax Number	:	541-318-7050

Provider Business Practice Location Address
First Line	:	1693 SW CHANDLER AVE STE 280
Second Line	:
City	:	BEND
State	:	OR
Zip	:	97702-3231
Country	:	US
Telephone Number	:	541-318-1000
Fax Number	:	541-318-7050

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

Provider Enumeration Date	:	09/27/2006
Last Update Date	:	08/01/2020

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