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General NPI Number Information
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NPI Number | 1528933975
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Entity Type | Organization
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Legal Business Name | UMPQUA CHIROPRACTIC PC
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Dates
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Enumeration Date | 10/07/2025
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 225 E 4TH AVE
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City | EUGENE
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State | OR
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Zip | 97401-2429
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Country | US
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Telephone | 541-672-4807
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Fax | 541-672-7342
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Provider Business Mailing Address
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Address Line | 535 NE STEPHENS ST
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City | ROSEBURG
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State | OR
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Zip | 97470-3150
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Country | US
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Telephone | 541-672-4807
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Fax | 541-672-7342
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Authorized Official
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Title or Position | OWNER
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Name | CHRISTOPHER RENEAU
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Credential | DC
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Telephone | 541-672-4807
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number |
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License Number State |
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