Healthcare Provider Details

I. General information

NPI: 1598610545
Provider Name (Legal Business Name): CHANCE BEECHER
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/03/2026
Last Update Date: 03/03/2026
Certification Date: 03/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

155 ALTA VISTA RD STE B
EAGLE POINT OR
97524-9735
US

IV. Provider business mailing address

155 ALTA VISTA RD STE B
EAGLE POINT OR
97524-9735
US

V. Phone/Fax

Practice location:
  • Phone: 541-879-3443
  • Fax: 541-879-3445
Mailing address:
  • Phone: 541-879-3443
  • Fax: 541-879-3445

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number6504
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: