| Petrotta Chiropractic Inc. | |
|
22021 Sw Sherwood Blvd, Sherwood, OR 97140-9327 | |
| (503) 625-4054 | |
| Not Available |
| Full Name | Petrotta Chiropractic Inc. |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 22021 Sw Sherwood Blvd, Sherwood, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578702106 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 2963 (Oregon) | Primary |
| Provider Name | Deborah A Petrotta |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1285684787 PECOS PAC ID: 3072679216 Enrollment ID: I20090312000653 |
| Mailing Address | Practice Location Address |
|---|---|
| Petrotta Chiropractic Inc. Po Box 1483, Sherwood, OR 97140-1483 Ph: (503) 625-4054 | Petrotta Chiropractic Inc. 22021 Sw Sherwood Blvd, Sherwood, OR 97140-9327 Ph: (503) 625-4054 |
Nisreen Malik, Chiropractor Medicare: Medicare Enrolled Practice Location: 20508 Sw Roy Rogers Rd # C-115, Sherwood, OR 97140 Phone: 503-906-3585 | |
Dennis Orell Beasley, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 16771 Sw 12th St Ste E, Sherwood, OR 97140 Phone: 503-822-5242 Fax: 503-822-5293 | |
Dr. Jennifer Lynn Nienaber, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 20508 Sw Roy Rogers Rd, C-115, Sherwood, OR 97140 Phone: 503-906-3585 Fax: 503-906-3586 | |
Jordan Levi Pratt, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 21323 Sw Sherwood Blvd, Sherwood, OR 97140 Phone: 503-984-2203 | |
Kaden Ogles, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 20508 Sw Roy Rogers Rd Ste 115, Sherwood, OR 97140 Phone: 503-906-3585 Fax: 503-906-3586 | |
Deborah Ann Petrotta, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 22021 Sw Sherwood Blvd, Sherwood, OR 97140 Phone: 503-625-4054 Fax: 503-625-6297 | |
Dr Levi Pratt Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 21323 Sw Sherwood Blvd, Sherwood, OR 97140 Phone: 503-984-2203 |