Healthcare Provider Details

I. General information

NPI: 1346113537
Provider Name (Legal Business Name): DIMETRIOS SOTIROPOULOS DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/24/2025
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1430 E MCANDREWS RD
MEDFORD OR
97504-6108
US

IV. Provider business mailing address

4100 REDWOOD AVE
GRANTS PASS OR
97527-9220
US

V. Phone/Fax

Practice location:
  • Phone: 458-225-9457
  • Fax:
Mailing address:
  • Phone: 917-754-0024
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number6469
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: