NPI 1609959568

Jack E Pedersen, DC

Practitioner Chiropractor Sweet Home, OR

Practice location

Address: 1235 Main St, Sweet Home, OR 97386-1609
Phone: (541) 367-2105

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence 1401 (OR)

Other Chiropractor providers in Oregon →

Registry record

NPI: 1609959568
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Oct 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.