| Sunnybrook Chiropractic Corp | |
|
2305 Se Washington St Ste 105, Milwaukie, OR 97222-7647 | |
| (503) 305-8825 | |
| (503) 303-4389 |
| Full Name | Sunnybrook Chiropractic Corp |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 2305 Se Washington St Ste 105, Milwaukie, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376184564 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Eddy Bounpon Mydouangchanh |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1497177844 PECOS PAC ID: 7719232180 Enrollment ID: I20181206003358 |
| Mailing Address | Practice Location Address |
|---|---|
| Sunnybrook Chiropractic Corp 14115 Se Division St, Portland, OR 97236-2628 Ph: () - | Sunnybrook Chiropractic Corp 2305 Se Washington St Ste 105, Milwaukie, OR 97222-7647 Ph: (503) 305-8825 |
Dr. Dennis Michael Sullivan, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2305 Se Washington St, Suite 109, Milwaukie, OR 97222 Phone: 503-659-0064 Fax: 503-659-0445 | |
Dr. Fred Seater, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 4141 Se Harrison St, Milwaukie, OR 97222 Phone: 503-653-2232 | |
Dr. Kevin M. Segal, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 6501 Se King Rd, Milwaukie, OR 97222 Phone: 503-788-3800 Fax: 503-788-8020 | |
Dr. Mark S Gardner, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 14000 Se Johnson Rd, Milwaukie, OR 97267 Phone: 503-786-7272 Fax: 503-786-7799 | |
Milwaukie Chiropractic Center Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3716 Se International Way, Milwaukie, OR 97222 Phone: 503-659-0073 Fax: 503-659-7471 | |
Dr. Kevin Yurkish, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 3716 Se International Way, Milwaukie, OR 97222 Phone: 503-659-0073 | |
Dr. Brian Blake Sims, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 4370 Se King Rd Ste 220, Milwaukie, OR 97222 Phone: 503-654-7400 Fax: 503-654-1003 |