Provider Demographics
NPI:1316096621
Name:MORRIS, JERRY CHRISTOPHER (DC, PC)
Entity type:Individual
Prefix:DR
First Name:JERRY
Middle Name:CHRISTOPHER
Last Name:MORRIS
Suffix:
Gender:M
Credentials:DC, PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97520-1750
Mailing Address - Country:US
Mailing Address - Phone:541-245-4444
Mailing Address - Fax:
Practice Address - Street 1:51 WATER STREET
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:OR
Practice Address - Zip Code:97520
Practice Address - Country:US
Practice Address - Phone:541-488-3335
Practice Address - Fax:541-488-3337
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2019-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR713702111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA34645OtherCA LICENSURE
OR3702OtherOR