Health Haven LLC
Chiropractor in Grants Pass, OR. Organization (NPI-2).
NPI number1861663171
StatusActive
Last updated in NPPESApr 17, 2008
Details
- NPI
- 1861663171
- Entity type
- Organization (NPI-2)
- Legal business name
- Health Haven LLC
- Organization subpart
- No
- Enumeration date
- Mar 13, 2008
- Last updated
- Apr 17, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | – | – | Yes |
Practice location
1610 Allen Creek RdSuite 101
Grants Pass, OR 97527-5820
Phone 541-476-9628 · Fax 541-479-4378
Mailing address
1610 Allen Creek RdSuite 101
Grants Pass, OR 97527-5820
Phone 541-476-9628 · Fax 541-479-4378
Authorized official
Thomas Gilliland
Owner/Chiropractor
5414769628
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