Healthcare Provider Details

I. General information

NPI: 1982587630
Provider Name (Legal Business Name): ROGUE COMMUNITY CHIROPRACTIC AND MASSAGE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2025
Last Update Date: 07/29/2025
Certification Date: 07/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1875 HIGHWAY 99 N STE 11
ASHLAND OR
97520-9600
US

IV. Provider business mailing address

480 CARMEN RD
TALENT OR
97540-6721
US

V. Phone/Fax

Practice location:
  • Phone: 541-482-2225
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: NOAH VOLZ
Title or Position: CHIROPRACTOR
Credential: DC
Phone: 541-622-2102