OrganizationActive
Advanced Sport and Spine Chiropractic LLC
NPI 1962092031 · Chiropractor · Pleasant Hill, OR
Provider details
- NPI number
- 1962092031
- Entity type
- Organization
- Primary specialty
- ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Justin Coryell, Owner(541) 852-8806
Specialties & taxonomies
Chiropractic Providers
Practice location
85203 Jasper Park Rd
Pleasant Hill, OR 97455-9773
Phone: (541) 852-8806
Approximate (ZIP-level) locationGet directions
Mailing address
85203 Jasper Park Rd
Pleasant Hill, OR 97455-9773
Registry dates
- Enumerated
- 2021-01-22
- Last updated
- 2021-01-25
- Certified
- 2021-01-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.