Healthcare Provider Details

I. General information

NPI: 1982318572
Provider Name (Legal Business Name): WHOLE HEALTH CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2023
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1660 RIVER RD
EUGENE OR
97404-2653
US

IV. Provider business mailing address

1660 RIVER RD
EUGENE OR
97404-2653
US

V. Phone/Fax

Practice location:
  • Phone: 541-525-0095
  • Fax: 541-284-2099
Mailing address:
  • Phone: 541-525-0095
  • Fax: 541-284-2099

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: KIRSTIN MINDY EBAUGH
Title or Position: PRESIDENT/CHIROPRACTOR
Credential: DC
Phone: 541-525-0095