Healthcare Provider Details

I. General information

NPI: 1588645626
Provider Name (Legal Business Name): ERIC STEVEN REED DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/07/2005
Last Update Date: 07/26/2024
Certification Date: 07/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2931 DOCTORS PARK DR
MEDFORD OR
97504-8127
US

IV. Provider business mailing address

PO BOX 3160
CENTRAL POINT OR
97502-0006
US

V. Phone/Fax

Practice location:
  • Phone: 541-414-0362
  • Fax: 541-200-2269
Mailing address:
  • Phone: 541-414-0362
  • Fax: 541-200-2269

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number713544
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: