| 100 Chiro Padilla Tran Pc Llc | |
|
4025 Mercantile Dr Ste 105, Lake Oswego, OR 97035-2518 | |
| (503) 459-1526 | |
| Not Available |
| Full Name | 100 Chiro Padilla Tran Pc Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 4025 Mercantile Dr Ste 105, Lake Oswego, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386369429 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Edward Kim |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1922793371 PECOS PAC ID: 3173987468 Enrollment ID: I20230920004403 |
| Mailing Address | Practice Location Address |
|---|---|
| 100 Chiro Padilla Tran Pc Llc 4025 Mercantile Dr Ste 105, Lake Oswego, OR 97035-2518 Ph: (503) 459-1526 | 100 Chiro Padilla Tran Pc Llc 4025 Mercantile Dr Ste 105, Lake Oswego, OR 97035-2518 Ph: (503) 459-1526 |
Dr. Grant P Morlock, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 4847 Meadows Rd 153, Lake Oswego, OR 97035 Phone: 971-330-8578 | |
Northwest Functional Neurology Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 17449 Lower Boones Ferry, Suite 300, Lake Oswego, OR 97035 Phone: 503-850-4526 Fax: 503-908-1555 | |
Dr. Tyler Michael Finn, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 16679 Boones Ferry Rd, Lake Oswego, OR 97035 Phone: 503-635-6005 | |
Lake Oswego Chiropractic Clinic, P.c. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 315 2nd St, Lake Oswego, OR 97034 Phone: 503-635-6246 Fax: 503-635-1450 | |
Dr. Larry Thomas Burks, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 15800 Upper Boones Ferry Rd, Suite 400, Lake Oswego, OR 97035 Phone: 503-597-8352 | |
Dr. Jennie-marie Evanka Archambault, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 3990 Collins Way, Lake Oswego, OR 97035 Phone: 503-635-1236 | |
Dr. Kathleen Marie Galligan, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3990 Collins Way, Ste 201, Lake Oswego, OR 97035 Phone: 503-635-1236 Fax: 503-697-4741 |