Healthcare Provider Details

I. General information

NPI: 1861449738
Provider Name (Legal Business Name): PAUL A PAEZ DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/27/2006
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 SW 5TH ST
GRANTS PASS OR
97526-2509
US

IV. Provider business mailing address

333 SW 5TH ST
GRANTS PASS OR
97526-2509
US

V. Phone/Fax

Practice location:
  • Phone: 541-471-0397
  • Fax:
Mailing address:
  • Phone: 541-471-0397
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number6087
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC0278350
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: