Healthcare Provider Details

I. General information

NPI: 1760308779
Provider Name (Legal Business Name): JR WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

534 WASHINGTON ST
ASHLAND OR
97520-1682
US

IV. Provider business mailing address

534 WASHINGTON ST
ASHLAND OR
97520-1682
US

V. Phone/Fax

Practice location:
  • Phone: 541-227-3282
  • Fax:
Mailing address:
  • Phone: 541-227-3282
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: JEREMY ROTHENBERG
Title or Position: OWNER
Credential: L.AC.
Phone: 510-409-4942