Healthcare Provider Details

I. General information

NPI: 1528933975
Provider Name (Legal Business Name): UMPQUA CHIROPRACTIC PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2025
Last Update Date: 10/07/2025
Certification Date: 10/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 E 4TH AVE
EUGENE OR
97401-2429
US

IV. Provider business mailing address

535 NE STEPHENS ST
ROSEBURG OR
97470-3150
US

V. Phone/Fax

Practice location:
  • Phone: 541-672-4807
  • Fax: 541-672-7342
Mailing address:
  • Phone: 541-672-4807
  • Fax: 541-672-7342

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number
License Number State

VIII. Authorized Official

Name: CHRISTOPHER RENEAU
Title or Position: OWNER
Credential: DC
Phone: 541-672-4807