| Chiropractic Injury Center, Llc | |
|
11679 Ne Glisan St, Portland, OR 97220-2264 | |
| (971) 373-8257 | |
| (971) 373-8259 |
| Full Name | Chiropractic Injury Center, Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 11679 Ne Glisan St, 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 |
|---|---|---|---|
| 1073073904 | NPI | - | NPPES |
| 500742574 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Dmitriy Tupikov |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1316392814 PECOS PAC ID: 5294068193 Enrollment ID: I20190607002192 |
| Mailing Address | Practice Location Address |
|---|---|
| Chiropractic Injury Center, Llc 11679 Ne Glisan St, Portland, OR 97220-2264 Ph: (971) 373-8257 | Chiropractic Injury Center, Llc 11679 Ne Glisan St, Portland, OR 97220-2264 Ph: (971) 373-8257 |
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 | |
Dr. Dylan Savage, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1030 Nw Marshall St, Portland, OR 97209 Phone: 503-227-2279 | |
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 |