Capitano Chiropractic, Pc | |
11125 Ne Sandy Blvd, Portland, OR 97220-2555 | |
(503) 257-3377 | |
(503) 257-3432 |
Full Name | Capitano Chiropractic, Pc |
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Type | Facility |
Speciality | Chiropractor |
Location | 11125 Ne Sandy Blvd, Portland, Oregon |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1760651830 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Daniel W Capitano |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1073542783 PECOS PAC ID: 2567358864 Enrollment ID: I20040224000878 |
Provider Name | Kelly J Yakiwchuk |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1558481895 PECOS PAC ID: 3274851431 Enrollment ID: I20150420000603 |
Mailing Address | Practice Location Address |
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Capitano Chiropractic, Pc 11125 Ne Sandy Blvd, Portland, OR 97220-2555 Ph: (503) 257-3377 | Capitano Chiropractic, Pc 11125 Ne Sandy Blvd, Portland, OR 97220-2555 Ph: (503) 257-3377 |
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Active Injury Rehab, Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 5253 Ne Sandy Blvd, Portland, OR 97213 Phone: 503-766-4881 | |
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