| Chirocare Chiropractic Clinic, Pc | |
|
10011 Se Division St Ste 200, Portland, OR 97266-1353 | |
| (503) 256-2654 | |
| (503) 256-2493 |
| Full Name | Chirocare Chiropractic Clinic, Pc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 10011 Se Division St Ste 200, 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 |
|---|---|---|---|
| 1578847448 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 1248 (Oregon) | Primary |
| 111N00000X | Chiropractor | 3852 (Oregon) | Secondary |
| Provider Name | Charles R Hathaway |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1093896631 PECOS PAC ID: 9830476142 Enrollment ID: I20170515000514 |
| Mailing Address | Practice Location Address |
|---|---|
| Chirocare Chiropractic Clinic, Pc 10011 Se Division St Ste 200, Portland, OR 97266-1353 Ph: (503) 256-2654 | Chirocare Chiropractic Clinic, Pc 10011 Se Division St Ste 200, Portland, OR 97266-1353 Ph: (503) 256-2654 |
Dorian D Quinn, Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 6230 Ne Halsey St, Portland, OR 97213 Phone: 503-236-8697 Fax: 503-236-8697 | |
Dr. Daniel Antonio Lujan, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 4425 Sw Corbett Ave, Portland, OR 97239 Phone: 503-225-9033 Fax: 503-225-9039 | |
Beaumont Chiropractic Clinic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 4211 Ne Fremont St, Portland, OR 97213 Phone: 503-287-6666 Fax: 503-287-1390 | |
Caressa Gullikson, Dc Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 200 Ne 20th Ave Ste 20, Portland, OR 97232 Phone: 974-229-1384 | |
Active Injury Rehab, Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 5253 Ne Sandy Blvd, Portland, OR 97213 Phone: 503-766-4881 | |
Dr. Marelle O'meara, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 121 Sw Morrison St, Suite 905, Portland, OR 97204 Phone: 503-222-7304 Fax: 503-227-8210 | |
Dr. Elise G. Hewitt, DC, CST, DICCP Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2031 E Burnside St, Portland, OR 97214 Phone: 503-224-2100 Fax: 503-224-2129 |