| Stateline Chiropractic | |
|
85458 Highway 11, Milton Freewater, OR 97862-7309 | |
| (541) 938-8300 | |
| (541) 938-3424 |
| Full Name | Stateline Chiropractic |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 85458 Highway 11, Milton Freewater, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104342567 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 4101 (Oregon) | Primary |
| Provider Name | Chad E Smith |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1134411556 PECOS PAC ID: 2062673502 Enrollment ID: I20120411000077 |
| Mailing Address | Practice Location Address |
|---|---|
| Stateline Chiropractic 85458 Highway 11, Milton Freewater, OR 97862-7309 Ph: (541) 938-8300 | Stateline Chiropractic 85458 Highway 11, Milton Freewater, OR 97862-7309 Ph: (541) 938-8300 |
Dr. Lance B. Hatch, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 85458 Highway 11, Milton Freewater, OR 97862 Phone: 541-938-8300 Fax: 541-938-3424 | |
Mark F Turner, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 1018 S Main St, Suite A, Milton Freewater, OR 97862 Phone: 541-938-4140 Fax: 541-938-4140 | |
Dr. Chad Edward Smith, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 85458 Highway 11, Milton Freewater, OR 97862 Phone: 541-938-8300 Fax: 541-938-3424 | |
Dr. Kenneth Ray Simpson, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 139 S Main St, Milton Freewater, OR 97862 Phone: 541-938-6820 Fax: 541-938-6825 | |
Stateline Chiropractic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 85458 Hwy 11, Milton Freewater, OR 97862 Phone: 541-938-8300 Fax: 541-938-3424 |