Edward Kim, | |
4025 Mercantile Dr Ste 105, Lake Oswego, OR 97035-2518 | |
(503) 919-1130 | |
Not Available |
Full Name | Edward Kim |
---|---|
Gender | Male |
Speciality | Chiropractor |
Location | 4025 Mercantile Dr Ste 105, Lake Oswego, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922793371 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 6301 (Oregon) | Primary |
Provider Name | 100 Chiro Padilla Tran Pc Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1386369429 PECOS PAC ID: 1355705641 Enrollment ID: O20230920001094 |
Mailing Address | Practice Location Address |
---|---|
Edward Kim, 12905 Sw Wilmington Ln, Tigard, OR 97224-1794 Ph: () - | Edward Kim, 4025 Mercantile Dr Ste 105, Lake Oswego, OR 97035-2518 Ph: (503) 919-1130 |
Dr. Grant P Morlock, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 4847 Meadows Rd 153, Lake Oswego, OR 97035 Phone: 971-330-8578 | |
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Dr. Larry Thomas Burks, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 15800 Upper Boones Ferry Rd, Suite 400, Lake Oswego, OR 97035 Phone: 503-597-8352 | |
Dr. Jennie-marie Evanka Archambault, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 3990 Collins Way, Lake Oswego, OR 97035 Phone: 503-635-1236 | |
Dr. Kathleen Marie Galligan, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3990 Collins Way, Ste 201, Lake Oswego, OR 97035 Phone: 503-635-1236 Fax: 503-697-4741 |