Provider Demographics
NPI:1972733418
Name:MADANI, HAMED (DC)
Entity type:Individual
Prefix:
First Name:HAMED
Middle Name:
Last Name:MADANI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1524 WILLAMETTE STREET SUITE 100
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401
Mailing Address - Country:US
Mailing Address - Phone:541-762-1777
Mailing Address - Fax:541-762-1776
Practice Address - Street 1:1524 WILLAMETTE STREET SUITE 100
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401
Practice Address - Country:US
Practice Address - Phone:541-762-1777
Practice Address - Fax:541-762-1776
Is Sole Proprietor?:No
Enumeration Date:2009-07-17
Last Update Date:2018-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR3936111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor