| Heresco Chiropractic And Associates Pc | |
|
408 Nw 7th St, Corvallis, OR 97330-6308 | |
| (541) 757-9933 | |
| (541) 757-7713 |
| Full Name | Heresco Chiropractic And Associates Pc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 408 Nw 7th St, Corvallis, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326045626 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 27-1620 (Oregon) | Primary |
| 111NX0800X | Chiropractor - Orthopedic | 27-1620 (Oregon) | Secondary |
| Provider Name | Walter D Peterson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1508962184 PECOS PAC ID: 6002967973 Enrollment ID: I20090706000660 |
| Provider Name | Frank Thomas Heresco |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1407853914 PECOS PAC ID: 9234029091 Enrollment ID: I20111110000528 |
| Provider Name | Joseph A Shepro |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1326347840 PECOS PAC ID: 8820254162 Enrollment ID: I20120731000701 |
| Provider Name | Michael Briggs Mcdonald |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1346697091 PECOS PAC ID: 5092009514 Enrollment ID: I20160805002082 |
| Provider Name | Maya Lynn Shamsuddin |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1427654003 PECOS PAC ID: 4385032531 Enrollment ID: I20211021000660 |
| Provider Name | Jason Dean Kennedy |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1528207362 PECOS PAC ID: 4284016494 Enrollment ID: I20220804002887 |
| Provider Name | Tammara Leanne Defilippis |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1356118079 PECOS PAC ID: 4789035379 Enrollment ID: I20240108005600 |
| Mailing Address | Practice Location Address |
|---|---|
| Heresco Chiropractic And Associates Pc 408 Nw 7th St, Corvallis, OR 97330-6308 Ph: (541) 757-9933 | Heresco Chiropractic And Associates Pc 408 Nw 7th St, Corvallis, OR 97330-6308 Ph: (541) 757-9933 |
Dr Leslie Beth Berman Pc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2438 Nw Professional Dr, Corvallis, OR 97330 Phone: 541-754-0054 Fax: 888-315-8835 | |
Dr. Keith James Okerstrom, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2005 Nw Grant Ave, Corvallis, OR 97330 Phone: 541-758-9393 Fax: 541-738-0704 | |
Leslie B Berman, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2438 Nw Professional Drive, Corvallis, OR 97330 Phone: 541-754-0054 Fax: 541-754-0363 | |
Dr. David Lawrence, DC, ND Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1600 Sw Western Blvd, Suite 120, Corvallis, OR 97333 Phone: 541-752-9918 | |
Dr. Daniel Joseph Lach, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2296 Nw Kings Boulevard Ste 101, Corvallis, OR 97330 Phone: 541-754-1947 Fax: 541-754-1577 | |
Dr. Tammara Defilippis, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 408 Nw 7th St, Corvallis, OR 97330 Phone: 541-757-9933 Fax: 541-757-7713 |