| Molalla Spine & Sport | |
|
130 Sw 2nd Ave Ste 101, Canby, OR 97013-4156 | |
| (503) 263-3033 | |
| (503) 263-3023 |
| Full Name | Molalla Spine & Sport |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 130 Sw 2nd Ave Ste 101, Canby, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043491178 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 273072 (Oregon) | Primary |
| Provider Name | Michael J Vissers |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1093843302 PECOS PAC ID: 1153518774 Enrollment ID: I20101209000083 |
| Provider Name | Heidi M Tornberg |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1386843159 PECOS PAC ID: 7517048226 Enrollment ID: I20120612000143 |
| Provider Name | Kyle Aaron Zabst |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1235509498 PECOS PAC ID: 7214246065 Enrollment ID: I20151019002177 |
| Provider Name | Jon Ross Nichols |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1043371958 PECOS PAC ID: 9133265184 Enrollment ID: I20220531001370 |
| Provider Name | Christian Ruben Zyweck |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1871708164 PECOS PAC ID: 4981629920 Enrollment ID: I20230901002260 |
| Provider Name | Joon Myung Kim |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1205343548 PECOS PAC ID: 4284078528 Enrollment ID: I20240214004395 |
| Mailing Address | Practice Location Address |
|---|---|
| Molalla Spine & Sport 130 Sw 2nd Ave Ste 101, Canby, OR 97013-4156 Ph: (503) 263-3033 | Molalla Spine & Sport 130 Sw 2nd Ave Ste 101, Canby, OR 97013-4156 Ph: (503) 263-3033 |
Mr. David Alan Dewar, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 1385 1st Ave. Suite 102, Canby, OR 97013 Phone: 503-266-0600 Fax: 503-766-5703 | |
Dr. Michael Jay Vissers, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 130 Sw 2nd Ave Ste 101, Canby, OR 97013 Phone: 503-263-3033 Fax: 503-263-3023 | |
Dr. Roger D. Stewart, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 725 Se 1st Ave, Canby, OR 97013 Phone: 503-266-5858 Fax: 503-266-6773 | |
Jooae Park, D.C Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 178 Sw 2nd Ave, Canby, OR 97013 Phone: 503-266-2997 | |
Hartwell Chiropractic And Wellness Center P.c. Chiropractor Medicare: Medicare Enrolled Practice Location: 178 Sw 2nd Ave, Canby, OR 97013 Phone: 503-266-2997 Fax: 503-263-2997 | |
Healthsource Of Canby Chiropractor Medicare: Medicare Enrolled Practice Location: 1385 Se 1st Ave Ste 102, Canby, OR 97013 Phone: 503-266-0600 Fax: 503-766-5703 |