Healthcare Provider Details

I. General information

NPI: 1790927002
Provider Name (Legal Business Name): HEPPNER CHIROPRACTIC, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2009
Last Update Date: 05/06/2025
Certification Date: 05/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 13TH ST SE
SALEM OR
97302-2507
US

IV. Provider business mailing address

1010 13TH ST SE
SALEM OR
97302-2507
US

V. Phone/Fax

Practice location:
  • Phone: 971-599-1191
  • Fax: 503-363-8193
Mailing address:
  • Phone: 715-991-1919
  • Fax: 503-363-8193

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number3905
License Number StateOR

VIII. Authorized Official

Name: DR. ABIGAIL HEPPNER HODGSON
Title or Position: CHIROPRACTOR
Credential: D.C.
Phone: 971-599-1191