| |
628 Nw York Dr Ste 104, Bend, OR 97701-1572 | |
(541) 388-2429 | |
(541) 388-2439 |
Full Name | |
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Type | Facility |
Speciality | Chiropractor - Sports Physician |
Location | 628 Nw York Dr Ste 104, Bend, Oregon |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548664279 | NPI | - | NPPES |
1457332371 | Other | OR | NPI |
1366789802 | Other | OR | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111NS0005X | Chiropractor - Sports Physician | 1951 (Oregon) | Primary |
111NS0005X | Chiropractor - Sports Physician | 5104 (Oregon) | Secondary |
Provider Name | Theresa Marie Rubadue Doi |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1457332371 PECOS PAC ID: 1951200096 Enrollment ID: I20040107000692 |
Provider Name | Jordan Tadashi Doi |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1366789802 PECOS PAC ID: 2567607310 Enrollment ID: I20130326000562 |
Provider Name | Erica M Staehle |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1205269446 PECOS PAC ID: 7315172004 Enrollment ID: I20131105001705 |
Mailing Address | Practice Location Address |
---|---|
628 Nw York Dr Ste 104, Bend, OR 97701-1572 Ph: (541) 388-2429 | 628 Nw York Dr Ste 104, Bend, OR 97701-1572 Ph: (541) 388-2429 |
Richard L Austin Chiropractic Inc Chiropractor Medicare: Medicare Enrolled Practice Location: 215 Se Urania Ln, Bend, OR 97702 Phone: 541-668-1211 Fax: 541-833-5007 | |
Juniper Chiropractic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 321 Ne Clay Ave, Ste 140, Bend, OR 97701 Phone: 541-728-0383 | |
Teicheira Chiropractic Pc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 198 Se 3rd St, Bend, OR 97702 Phone: 541-383-3101 Fax: 541-383-3101 | |
Scott Vander Wall, Dc, Pc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 243 Sw Scalehouse Loop, Suite 5b, Bend, OR 97702 Phone: 541-317-9799 | |
Dr. Bari Liebowitz, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 516 Sw 13th St Ste 102, Bend, OR 97702 Phone: 541-728-0689 Fax: 541-728-0815 | |
Total Life Chiropractic Clinic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2000 Ne Neff Rd, Bend, OR 97701 Phone: 541-312-4470 Fax: 541-312-4430 |