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DR. CHRISTIAN H MATHISEN JR. D.C.
NPI 1679577373
Chiropractor in Medford, OR

Active since June 09, 2005
24 CRATER LAKE AVE, STE 2, MEDFORD, OR 97504(541) 535-4111(541) 535-5051 Get Directions Write a Review

NPPES record last updated: April 30, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Christian H Mathisen Jr. D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CHRISTIAN H MATHISEN JR. D.C. (NPI 1679577373) is an individual chiropractor in Medford, Oregon, licensed in Oregon (27 2855) and active in the NPI registry since June 2005. He is a graduate of Western States College Of Chiropractic (1993).

NPPES Registry Identity

NPI1679577373
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. CHRISTIAN H MATHISEN JR.Credential: D.C.
Location Address24 CRATER LAKE AVE, STE 2Medford, OR 97504-7482
Mailing Address24 Crater Lake Ave, Ste 2Medford, OR 97504-7482 · (541) 535-4111 · Fax (541) 535-5051
Phone(541) 535-4111
Fax(541) 535-5051
Sole ProprietorNo
Medical School CMSWestern States College Of ChiropracticGraduated 1993
Enumeration DateJune 9, 2005
Last NPPES UpdateApril 30, 2019
✔ NPI 1679577373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in OR · 27 2855
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
24 CRATER LAKE AVE, Medford, OR 97504
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Christian H Mathisen Jr. D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1557463221
PECOS Enrollment IDI20070227000196

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Christian Mathisen's NPI number?

The NPI number for Christian Mathisen is 1679577373. It was assigned to this individual provider in the NPPES registry on June 9, 2005.

Where is Christian Mathisen located?

Christian Mathisen practices at 24 Crater Lake Ave Ste 2, Medford, OR 97504. The listed phone number is (541) 535-4111.

What is Christian Mathisen's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Christian Mathisen enrolled in Medicare?

Yes. Christian Mathisen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Christian Mathisen was last updated on April 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.