Advanced Chiropractic | |
1295 Wallace Rd Nw, Salem, OR 97304-3007 | |
(503) 361-3949 | |
Not Available |
Full Name | Advanced Chiropractic |
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Type | Facility |
Speciality | Chiropractor |
Location | 1295 Wallace Rd Nw, Salem, Oregon |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720110794 | NPI | - | NPPES |
234885 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 3189 (Oregon) | Primary |
Provider Name | James G Dyson |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1457333833 PECOS PAC ID: 7012093834 Enrollment ID: I20080319000410 |
Mailing Address | Practice Location Address |
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Advanced Chiropractic 1295 Wallace Rd Nw, Salem, OR 97304-3007 Ph: (503) 361-3949 | Advanced Chiropractic 1295 Wallace Rd Nw, Salem, OR 97304-3007 Ph: (503) 361-3949 |
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