Provider Demographics
NPI:1902005770
Name:CHLEBOWSKI, J CHRIS (ND, DC)
Entity type:Individual
Prefix:DR
First Name:J
Middle Name:CHRIS
Last Name:CHLEBOWSKI
Suffix:
Gender:M
Credentials:ND, DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:180 LITHIA WAY STE 103
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97520-1885
Mailing Address - Country:US
Mailing Address - Phone:541-414-7230
Mailing Address - Fax:888-253-8705
Practice Address - Street 1:180 LITHIA WAY STE 103
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:OR
Practice Address - Zip Code:97520-1885
Practice Address - Country:US
Practice Address - Phone:541-414-7230
Practice Address - Fax:888-253-8705
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-12
Last Update Date:2024-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1886175F00000X
OR3744111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No111N00000XChiropractic ProvidersChiropractor