MEDICARE: KLAMATH FALLS CHIROPRACTIC LLC

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

General Provider Information

NPI Number	:	1700576634
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KLAMATH FALLS CHIROPRACTIC LLC

Provider Business Mailing Address
First Line	:	2650 WASHBURN WAY UNIT 180
Second Line	:
City	:	KLAMATH FALLS
State	:	OR
Zip	:	97603-4591
Country	:	US
Telephone Number	:	541-273-7120
Fax Number	:	541-273-7313

Provider Business Practice Location Address
First Line	:	2650 WASHBURN WAY UNIT 180
Second Line	:
City	:	KLAMATH FALLS
State	:	OR
Zip	:	97603-4591
Country	:	US
Telephone Number	:	541-273-7120
Fax Number	:	541-273-7313

Authorized Official
Title or Position	:	OWNER
Name	:	JEFFERSON MCKAY HARMON
Credential	:
Telephone Number	:	541-273-7120

Provider Enumeration Date	:	05/12/2023
Last Update Date	:	12/10/2025

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