Provider Demographics
NPI:1124472881
Name:EUGENE FAMILY CHIROPRACTIC
Entity type:Organization
Organization Name:EUGENE FAMILY CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:WASHAK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:541-632-3540
Mailing Address - Street 1:PO BOX 40722
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97404-0130
Mailing Address - Country:US
Mailing Address - Phone:541-632-3540
Mailing Address - Fax:541-515-6728
Practice Address - Street 1:2485 W 7TH PL STE 1
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97402-2687
Practice Address - Country:US
Practice Address - Phone:541-632-3540
Practice Address - Fax:541-515-6728
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-19
Last Update Date:2022-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
111N00000X
OR5052111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty