Provider Demographics
NPI:1962533760
Name:NANCY A COLFER, DC, PC
Entity type:Organization
Organization Name:NANCY A COLFER, DC, PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER/CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:A
Authorized Official - Last Name:COLFER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:541-345-9401
Mailing Address - Street 1:120 SHELTON MCMURPHEY BLVD STE 320
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-8718
Mailing Address - Country:US
Mailing Address - Phone:541-345-9401
Mailing Address - Fax:541-345-5493
Practice Address - Street 1:120 SHELTON MCMURPHEY BLVD STE 320
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-8718
Practice Address - Country:US
Practice Address - Phone:541-345-9401
Practice Address - Fax:541-345-5493
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-07
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR27-2709111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR1285696617OtherINDIVIDUAL NPI
OR1285696617OtherINDIVIDUAL NPI
ORU18609Medicare UPIN
OR077870Medicaid