Provider Demographics
NPI:1932912706
Name:GEYER, JUSTIN (DC)
Entity type:Individual
Prefix:
First Name:JUSTIN
Middle Name:
Last Name:GEYER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:JUSTIN
Other - Middle Name:
Other - Last Name:FAAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:645 N 5TH ST
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:OR
Mailing Address - Zip Code:97530-9659
Mailing Address - Country:US
Mailing Address - Phone:541-899-2760
Mailing Address - Fax:
Practice Address - Street 1:645 N 5TH ST
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:OR
Practice Address - Zip Code:97530-9659
Practice Address - Country:US
Practice Address - Phone:541-899-2760
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-27
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR6429111NI0013X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NI0013XChiropractic ProvidersChiropractorIndependent Medical Examiner