| Evergreen Chiropractic | |
|
657 Ne Hood Ave, Gresham, OR 97030-7328 | |
| (503) 912-1156 | |
| (971) 292-2932 |
| Full Name | Evergreen Chiropractic |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 657 Ne Hood Ave, Gresham, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003423914 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Michael Jared Manns |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1912554692 PECOS PAC ID: 4284964768 Enrollment ID: I20190925003884 |
| Mailing Address | Practice Location Address |
|---|---|
| Evergreen Chiropractic 5920 Burma Rd, Lake Oswego, OR 97035-3240 Ph: (971) 330-8017 | Evergreen Chiropractic 657 Ne Hood Ave, Gresham, OR 97030-7328 Ph: (503) 912-1156 |
Dr. Mark Anthony Betsill, D.C Chiropractor Medicare: Medicare Enrolled Practice Location: 23479 Se Stark St Ste 101, Gresham, OR 97030 Phone: 503-618-0147 Fax: 503-618-0148 | |
Balance Chiropractor Medicare: Medicare Enrolled Practice Location: 1217 Ne Burnside Rd Ste 301, Gresham, OR 97030 Phone: 503-492-2625 Fax: 503-492-2355 | |
Dr. Kenneth Leon Wecker, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 23440 Se Stark St, Gresham, OR 97030 Phone: 503-489-6245 Fax: 503-489-0552 | |
Dr. Gary A. Johnson, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 417 E Powell Blvd, Gresham, OR 97030 Phone: 503-665-2517 Fax: 503-667-3239 | |
Dr. Katie Anne Steinke, D.C Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2444 Ne Division St, Gresham, OR 97030 Phone: 503-667-1010 | |
Renewal Centers Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1240 Ne Burnside Rd, Gresham, OR 97030 Phone: 503-667-9300 Fax: 503-667-4975 |