Provider Demographics
NPI:1871063917
Name:CALLEY ASBILL, ND LLC
Entity type:Organization
Organization Name:CALLEY ASBILL, ND LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:DR
Authorized Official - First Name:CALLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:ASBILL
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:541-306-4471
Mailing Address - Street 1:2146 NE 4TH ST STE 160
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97701-3618
Mailing Address - Country:US
Mailing Address - Phone:541-306-4471
Mailing Address - Fax:541-566-7493
Practice Address - Street 1:2146 NE 4TH STREET
Practice Address - Street 2:SUITE 160
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97701
Practice Address - Country:US
Practice Address - Phone:541-306-4471
Practice Address - Fax:541-566-7493
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-02
Last Update Date:2018-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No175F00000XOther Service ProvidersNaturopathGroup - Multi-Specialty
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1194123786OtherNPI