Healthcare Provider Details

I. General information

NPI: 1831051556
Provider Name (Legal Business Name): HULTS CHIROPRACTIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2025
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2850 SAND CREEK RD
GRANTS PASS OR
97527-7118
US

IV. Provider business mailing address

2850 SAND CREEK RD
GRANTS PASS OR
97527-7118
US

V. Phone/Fax

Practice location:
  • Phone: 541-787-7234
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL HULTS
Title or Position: OWNER
Credential: DC
Phone: 541-787-7234