Oregon Trail Chiropractic Llc | |
437 Ne Main St, Estacada, OR 97023-8528 | |
(503) 630-4037 | |
(503) 630-5636 |
Full Name | Oregon Trail Chiropractic Llc |
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Type | Facility |
Speciality | Chiropractor |
Location | 437 Ne Main St, Estacada, Oregon |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1487942215 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 4059 (Oregon) | Primary |
Provider Name | Jonathan C Rhue |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1447497789 PECOS PAC ID: 8325350770 Enrollment ID: I20150629000902 |
Provider Name | Chris Johnson |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1720586340 PECOS PAC ID: 2668735374 Enrollment ID: I20180411000914 |
Provider Name | Rhea Marie Putnam |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1942885264 PECOS PAC ID: 8628477973 Enrollment ID: I20210519000845 |
Mailing Address | Practice Location Address |
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Oregon Trail Chiropractic Llc Po Box 909, Boring, OR 97009-0909 Ph: (503) 630-4037 | Oregon Trail Chiropractic Llc 437 Ne Main St, Estacada, OR 97023-8528 Ph: (503) 630-4037 |
Dr. Jonathan Rhue, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 437 Ne Main St, Estacada, OR 97023 Phone: 503-630-4037 Fax: 503-630-5636 | |
Michael T Malone Iii, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 437 Ne Main St, Estacada, OR 97023 Phone: 503-630-4037 Fax: 503-630-5636 | |
Rhea Marie Putnam, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 437 Ne Main St, Estacada, OR 97023 Phone: 503-630-4037 |