| |
1550 Nw Eastman Pkwy Ste 265, Gresham, OR 97030-3860 | |
(503) 669-1966 | |
(503) 667-6599 |
Full Name | |
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Type | Facility |
Speciality | Chiropractor |
Location | 1550 Nw Eastman Pkwy Ste 265, 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 |
---|---|---|---|
1457721698 | NPI | - | NPPES |
500719946 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 5106 (Oregon) | Primary |
Provider Name | Amy L Hanson |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1598002826 PECOS PAC ID: 4981927860 Enrollment ID: I20141229001968 |
Provider Name | Nicole Kline |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1255922456 PECOS PAC ID: 6901212133 Enrollment ID: I20210311003016 |
Mailing Address | Practice Location Address |
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1550 Nw Eastman Pkwy Ste 265, Gresham, OR 97030-3860 Ph: (503) 669-1966 | 1550 Nw Eastman Pkwy Ste 265, Gresham, OR 97030-3860 Ph: (503) 669-1966 |
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 | |
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 |