| Healthsource Of Canby | |
|
1385 Se 1st Ave Ste 102, Canby, OR 97013-6767 | |
| (503) 266-0600 | |
| (503) 766-5703 |
| Full Name | Healthsource Of Canby |
|---|---|
| Type | Facility |
| Speciality | Chiropractor - Sports Physician |
| Location | 1385 Se 1st Ave Ste 102, Canby, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275804171 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111NS0005X | Chiropractor - Sports Physician | 3831 (Oregon) | Primary |
| Provider Name | David A Dewar |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1053584995 PECOS PAC ID: 7315119666 Enrollment ID: I20111007000639 |
| Provider Name | Lance Austin Davis |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1568987931 PECOS PAC ID: 9335408657 Enrollment ID: I20180112001502 |
| Mailing Address | Practice Location Address |
|---|---|
| Healthsource Of Canby 1385 Se 1st Ave Ste 102, Canby, OR 97013-6767 Ph: (503) 266-0600 | Healthsource Of Canby 1385 Se 1st Ave Ste 102, Canby, OR 97013-6767 Ph: (503) 266-0600 |
Molalla Spine & Sport Chiropractor Medicare: Medicare Enrolled Practice Location: 130 Sw 2nd Ave Ste 101, Canby, OR 97013 Phone: 503-263-3033 Fax: 503-263-3023 | |
Mr. David Alan Dewar, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 1385 1st Ave. Suite 102, Canby, OR 97013 Phone: 503-266-0600 Fax: 503-766-5703 | |
Dr. Michael Jay Vissers, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 130 Sw 2nd Ave Ste 101, Canby, OR 97013 Phone: 503-263-3033 Fax: 503-263-3023 | |
Dr. Roger D. Stewart, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 725 Se 1st Ave, Canby, OR 97013 Phone: 503-266-5858 Fax: 503-266-6773 | |
Jooae Park, D.C Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 178 Sw 2nd Ave, Canby, OR 97013 Phone: 503-266-2997 | |
Hartwell Chiropractic And Wellness Center P.c. Chiropractor Medicare: Medicare Enrolled Practice Location: 178 Sw 2nd Ave, Canby, OR 97013 Phone: 503-266-2997 Fax: 503-263-2997 |