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242 Sw 4th St, Ste. A, Madras, OR 97741-1364 | |
(541) 475-6472 | |
(547) 475-7723 |
Full Name | |
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Type | Facility |
Speciality | Chiropractor |
Location | 242 Sw 4th St, Madras, 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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1154757516 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 2928 (Oregon) | Primary |
Provider Name | Douglas S Willems |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1669486221 PECOS PAC ID: 1254334436 Enrollment ID: I20060808000144 |
Mailing Address | Practice Location Address |
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242 Sw 4th St, Ste. A, Madras, OR 97741-1364 Ph: (541) 475-6472 | 242 Sw 4th St, Ste. A, Madras, OR 97741-1364 Ph: (541) 475-6472 |
Dr. Mark M Mullins, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 28 Ne 12th St, Madras, OR 97741 Phone: 541-475-6171 Fax: 541-475-6172 | |