Healthcare Provider Details

I. General information

NPI: 1295001741
Provider Name (Legal Business Name): HESS CHIROPRACTIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/29/2012
Last Update Date: 10/14/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1907 GARDEN AVE STE 102
EUGENE OR
97403-1962
US

IV. Provider business mailing address

1907 GARDEN AVE STE 102
EUGENE OR
97403-1962
US

V. Phone/Fax

Practice location:
  • Phone: 541-844-4070
  • Fax: 541-485-8239
Mailing address:
  • Phone: 541-844-4070
  • Fax: 541-485-8239

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number273197
License Number StateOR

VIII. Authorized Official

Name: DR. JENNIFER ANN HESS
Title or Position: OWNER
Credential: DC
Phone: 541-844-4070