Cedar Mill Chiropractic Clinic | |
12923 Nw Cornell Rd Ste 201, Portland, OR 97229-5834 | |
(503) 646-3393 | |
Not Available |
Full Name | Cedar Mill Chiropractic Clinic |
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Type | Facility |
Speciality | Chiropractor |
Location | 12923 Nw Cornell Rd Ste 201, 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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1124790795 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Brandon Ryan Christy |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1871047431 PECOS PAC ID: 7416244157 Enrollment ID: I20160923002026 |
Mailing Address | Practice Location Address |
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Cedar Mill Chiropractic Clinic 12923 Nw Cornell Rd Ste 201, Portland, OR 97229-5834 Ph: (503) 646-3393 | Cedar Mill Chiropractic Clinic 12923 Nw Cornell Rd Ste 201, Portland, OR 97229-5834 Ph: (503) 646-3393 |
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