Forrest Gowen Redwood, DC | |
14115 Se Division St, Portland, OR 97236-2628 | |
(503) 841-6633 | |
Not Available |
Full Name | Forrest Gowen Redwood |
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Gender | Male |
Speciality | Chiropractor |
Location | 14115 Se Division St, Portland, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649864265 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 6127 (Oregon) | Primary |
Provider Name | Calm Chiropractic And Wellness Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1326737685 PECOS PAC ID: 5496114365 Enrollment ID: O20230710003721 |
Mailing Address | Practice Location Address |
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Forrest Gowen Redwood, DC 14115 Se Division St, Portland, OR 97236-2628 Ph: (503) 841-6633 | Forrest Gowen Redwood, DC 14115 Se Division St, Portland, OR 97236-2628 Ph: (503) 841-6633 |
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