Provider Demographics
NPI:1730214081
Name:SCHWARTZ, RICHARD ALAN (DC)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:ALAN
Last Name:SCHWARTZ
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 1:1245 CHARNELTON ST
Mailing Address - Street 2:SUITE #1
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-6214
Mailing Address - Country:US
Mailing Address - Phone:541-484-6055
Mailing Address - Fax:
Practice Address - Street 1:1245 CHARNELTON ST
Practice Address - Street 2:SUITE #1
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-6214
Practice Address - Country:US
Practice Address - Phone:541-484-6055
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-23
Last Update Date:2014-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR2668111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor