| Elite Spine And Sports | |
|
21887 Sw Sherwood Blvd Ste A, Sherwood, OR 97140-9412 | |
| (503) 625-0500 | |
| Not Available |
| Full Name | Elite Spine And Sports |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 21887 Sw Sherwood Blvd Ste A, Sherwood, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770980021 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| 171100000X | Acupuncturist | (* (Not Available)) | Secondary |
| 225700000X | Massage Therapist | (* (Not Available)) | Secondary |
| Provider Name | Justin D Harle |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578511325 PECOS PAC ID: 3678584828 Enrollment ID: I20060601000153 |
| Provider Name | Brian H Wilkins |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1841537479 PECOS PAC ID: 2860720794 Enrollment ID: I20190829003763 |
| Provider Name | Michael Emmanuel Simele |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1942707393 PECOS PAC ID: 0244562981 Enrollment ID: I20191029002242 |
| Provider Name | Mikala Bocan |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1871031096 PECOS PAC ID: 0042697054 Enrollment ID: I20220512002613 |
| Provider Name | Karena Machelle Stalnaker |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1457088387 PECOS PAC ID: 6608251004 Enrollment ID: I20230619001203 |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Spine And Sports 21887 Sw Sherwood Blvd Ste A, Sherwood, OR 97140-9412 Ph: (503) 625-0500 | Elite Spine And Sports 21887 Sw Sherwood Blvd Ste A, Sherwood, OR 97140-9412 Ph: (503) 625-0500 |
Nisreen Malik, Chiropractor Medicare: Medicare Enrolled Practice Location: 20508 Sw Roy Rogers Rd # C-115, Sherwood, OR 97140 Phone: 503-906-3585 | |
Dennis Orell Beasley, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 16771 Sw 12th St Ste E, Sherwood, OR 97140 Phone: 503-822-5242 Fax: 503-822-5293 | |
Dr. Jennifer Lynn Nienaber, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 20508 Sw Roy Rogers Rd, C-115, Sherwood, OR 97140 Phone: 503-906-3585 Fax: 503-906-3586 | |
Jordan Levi Pratt, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 21323 Sw Sherwood Blvd, Sherwood, OR 97140 Phone: 503-984-2203 | |
Kaden Ogles, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 20508 Sw Roy Rogers Rd Ste 115, Sherwood, OR 97140 Phone: 503-906-3585 Fax: 503-906-3586 | |
Deborah Ann Petrotta, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 22021 Sw Sherwood Blvd, Sherwood, OR 97140 Phone: 503-625-4054 Fax: 503-625-6297 | |
Dr Levi Pratt Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 21323 Sw Sherwood Blvd, Sherwood, OR 97140 Phone: 503-984-2203 |