Provider Demographics
NPI:1942181821
Name:HEALTH REVOLUTION CHIROPRACTIC
Entity type:Organization
Organization Name:HEALTH REVOLUTION CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CORPORATE PRESIDENT / CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:S
Authorized Official - Last Name:BLANCHFILL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:541-849-2111
Mailing Address - Street 1:PO BOX 280
Mailing Address - Street 2:
Mailing Address - City:YONCALLA
Mailing Address - State:OR
Mailing Address - Zip Code:97499-0280
Mailing Address - Country:US
Mailing Address - Phone:541-849-2111
Mailing Address - Fax:541-871-7080
Practice Address - Street 1:193 MAIN ST
Practice Address - Street 2:
Practice Address - City:YONCALLA
Practice Address - State:OR
Practice Address - Zip Code:97499-9021
Practice Address - Country:US
Practice Address - Phone:541-849-2111
Practice Address - Fax:541-871-7080
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BACK TO FITNESS CHIROPRACTIC P.C.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-09-09
Last Update Date:2025-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty