| Ambrose Llc | |
|
4985 Battle Creek Rd Se Ste 125, Salem, OR 97302-9684 | |
| (503) 583-7194 | |
| Not Available |
| Full Name | Ambrose Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 4985 Battle Creek Rd Se Ste 125, 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 |
|---|---|---|---|
| 1790370732 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Jordan Mckenzie Ambrose |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1063805513 PECOS PAC ID: 0244557734 Enrollment ID: I20150320001858 |
| Mailing Address | Practice Location Address |
|---|---|
| Ambrose Llc 4985 Battle Creek Rd Se Ste 125, Salem, OR 97302-9684 Ph: (503) 583-7194 | Ambrose Llc 4985 Battle Creek Rd Se Ste 125, Salem, OR 97302-9684 Ph: (503) 583-7194 |
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