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14605 Se 202nd Ave, Damascus, OR 97089 | |
(503) 658-2225 | |
(503) 658-4554 |
Full Name | |
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Type | Facility |
Speciality | Chiropractor |
Location | 14605 Se 202nd Ave, Damascus, 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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1164747762 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 2563 (Oregon) | Primary |
Provider Name | Thomas D Dutcher |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1477630960 PECOS PAC ID: 1052588670 Enrollment ID: I20120125000001 |
Mailing Address | Practice Location Address |
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14605 Se 202nd Ave, Damascus, OR 97089 Ph: (503) 658-2225 | 14605 Se 202nd Ave, Damascus, OR 97089 Ph: (503) 658-2225 |
Dr. Thomas Dale Dutcher, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 14605 Se 202nd Ave, Damascus, OR 97015 Phone: 503-658-2225 |