Range Sports Medicine & Performance | |
170 S 2nd St Ste 205, Coos Bay, OR 97420-1673 | |
(541) 290-8696 | |
(541) 808-2362 |
Full Name | Range Sports Medicine & Performance |
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Type | Facility |
Speciality | Chiropractor - Sports Physician |
Location | 170 S 2nd St Ste 205, Coos Bay, 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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1063026458 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111NS0005X | Chiropractor - Sports Physician | (* (Not Available)) | Primary |
Provider Name | Benjamin P Herron |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1750701124 PECOS PAC ID: 4981928124 Enrollment ID: I20150119000627 |
Provider Name | Alissa R Miller |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1013771542 PECOS PAC ID: 2961846704 Enrollment ID: I20240220001939 |
Mailing Address | Practice Location Address |
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Range Sports Medicine & Performance 170 S 2nd St Ste 205, Coos Bay, OR 97420-1673 Ph: (541) 290-8696 | Range Sports Medicine & Performance 170 S 2nd St Ste 205, Coos Bay, OR 97420-1673 Ph: (541) 290-8696 |
Dr. Alissa R Miller, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 170 S 2nd St Ste 205, Coos Bay, OR 97420 Phone: 541-290-8696 | |
Edward L Lanway, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 632 Anderson Ave, Coos Bay, OR 97420 Phone: 541-269-2525 | |
Dr. Michael J. Burke, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 576 Donnelly Ave, Coos Bay, OR 97420 Phone: 541-266-7543 Fax: 541-269-9408 | |
Family Chiropractic Center Chiropractor Medicare: Medicare Enrolled Practice Location: 790 Anderson Ave, Coos Bay, OR 97420 Phone: 541-808-0999 | |
Julie A Martin, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 632 Anderson Ave, Coos Bay, OR 97420 Phone: 541-269-2525 | |
Benjamin Herron, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 170 S 2nd St Ste 205, Coos Bay, OR 97420 Phone: 541-290-8696 Fax: 541-808-2362 |