NPI 1902370810 · live from the CMS NPI Registry
Aspen Injury Center LLC
Chiropractor in Cottage Grove, OR. National Provider Identifier 1902370810, active.
NPI record
| NPI | 1902370810 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Chiropractor 111N00000X |
| Practice location | 1260 E Main St, Cottage Grove, OR 97424 |
| Practice phone | 541-767-3788 |
| Enumerated | January 14, 2019 |
| Last updated | January 14, 2019 |
| Authorized official | Richard Reneua, Owner |
| Other names | Aspen Chiropractic Center |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor primary | 111N00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.