Redwood Family Practice

LBN: Davera Corporation
Redwood Family Practice is an health care organization with primary practice located at 214 Ne Outlook Ave , Grants Pass OR 97526-1412. The organization recently has 4 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is the primary health care specialty. Davera Corporation can be contacted via phone (541) 471-1909, or through Ray, David via phone (541) 471-1909.

Contact Information

Primary practice address
214 Ne Outlook Ave Grants Pass OR 97526-1412
Phone: (541) 471-1909
Fax: (541) 471-1928
Website:
Map and Directions
Authorized official contact:
Name: Ray, David DC, FNP
Phone: (541) 471-1909

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1760946321
LBN Legal business name Davera Corporation
DBA Doing business as Redwood Family Practice
Authorized official Ray, David DC, FNP
Entity Organization
Organization subpart 1 No
Enumeration date Jan 29th, 2019
Last updated Mar 11th, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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