Provider Demographics
NPI:1154577153
Name:VOLZ, NOAH (LMT)
Entity type:Individual
Prefix:
First Name:NOAH
Middle Name:
Last Name:VOLZ
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1561
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:OR
Mailing Address - Zip Code:97535-1561
Mailing Address - Country:US
Mailing Address - Phone:541-513-7750
Mailing Address - Fax:
Practice Address - Street 1:410 N MAIN ST
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:OR
Practice Address - Zip Code:97520-1750
Practice Address - Country:US
Practice Address - Phone:541-245-4444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-11
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA34361111NS0005X
OR14893225700000X
CA61333225700000X
OR6066111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NS0005XChiropractic ProvidersChiropractorSports Physician
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist