Verve Lifestyle Center | |
2232 Nw Pettygrove St Ste 110, Portland, OR 97210-2372 | |
(503) 224-4804 | |
Not Available |
Full Name | Verve Lifestyle Center |
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Type | Facility |
Speciality | Chiropractor |
Location | 2232 Nw Pettygrove St Ste 110, Portland, 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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1730625344 | NPI | - | NPPES |
Provider Name | Megan A Banker |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1336504505 PECOS PAC ID: 8820381569 Enrollment ID: I20160719000412 |
Mailing Address | Practice Location Address |
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Verve Lifestyle Center 2232 Nw Pettygrove St Ste 110, Portland, OR 97210-2372 Ph: (503) 224-4804 | Verve Lifestyle Center 2232 Nw Pettygrove St Ste 110, Portland, OR 97210-2372 Ph: (503) 224-4804 |
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