| Pure Life Chiropractic, Llc | |
|
1400 Valley River Dr Ste 260, Eugene, OR 97401-6760 | |
| (541) 343-5633 | |
| (541) 762-5633 |
| Full Name | Pure Life Chiropractic, Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1400 Valley River Dr Ste 260, Eugene, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053614586 | NPI | - | NPPES |
| 1508924523 | Other | NPI (NATIONAL PROVIDER IDENTIFICATION) |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 3808 (Oregon) | Secondary |
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| 171100000X | Acupuncturist | (* (Not Available)) | Secondary |
| Provider Name | Jennifer L Nyberg |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1063456200 PECOS PAC ID: 2062485451 Enrollment ID: I20040814000034 |
| Mailing Address | Practice Location Address |
|---|---|
| Pure Life Chiropractic, Llc 1400 Valley River Dr Ste 260, Eugene, OR 97401-6760 Ph: (541) 343-5633 | Pure Life Chiropractic, Llc 1400 Valley River Dr Ste 260, Eugene, OR 97401-6760 Ph: (541) 343-5633 |
Benessere Chiropractic Chiropractor Medicare: Medicare Enrolled Practice Location: 295 W Broadway, Eugene, OR 97401 Phone: 541-636-3358 Fax: 541-636-3098 | |
Kohl Clark Marks, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1400 Executive Pkwy, Eugene, OR 97401 Phone: 541-345-1669 Fax: 541-359-2238 | |
Dr. David H Ott, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 141 E 15th Ave, Eugene, OR 97401 Phone: 541-343-1011 Fax: 541-343-1011 | |
Dr. Wade Hampton Watts Iii, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1029 River Road, Eugene, OR 97404 Phone: 541-689-9457 | |
Dr. Sunny Kierstyn Inc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1663 High St, Eugene, OR 97401 Phone: 541-654-0850 Fax: 541-654-0834 | |
Jennifer L Nyberg, Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1742 W 10th Ave, Eugene, OR 97402 Phone: 541-343-8449 |