Healthcare Provider Details

I. General information

NPI: 1003131202
Provider Name (Legal Business Name): BENESSERE CHIROPRACTIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2010
Last Update Date: 03/19/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

295 W BROADWAY
EUGENE OR
97401-3005
US

IV. Provider business mailing address

295 W BROADWAY
EUGENE OR
97401-3005
US

V. Phone/Fax

Practice location:
  • Phone: 541-636-3358
  • Fax: 541-636-3098
Mailing address:
  • Phone: 541-636-3358
  • Fax: 541-636-3098

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number71-2924
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC150264
License Number StateOR
# 3
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. CHRIS J OSTERLITZ
Title or Position: OWNER
Credential: D.C.
Phone: 541-636-3358