Whitmire Chiropractic | |
1126 Lancaster Dr Ne, Salem, OR 97301-2933 | |
(503) 362-1002 | |
(503) 362-1006 |
Full Name | Whitmire Chiropractic |
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Type | Facility |
Speciality | Clinic/center - Multi-specialty |
Location | 1126 Lancaster Dr Ne, Salem, 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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1245593052 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 4094 (Oregon) | Secondary |
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Provider Name | Gideon M Tarnasky |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1457664732 PECOS PAC ID: 5991820920 Enrollment ID: I20100915000232 |
Provider Name | John-paul David Whitmire |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1548550981 PECOS PAC ID: 0345413555 Enrollment ID: I20111103000863 |
Provider Name | Joshua Andrew Orr |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1699377259 PECOS PAC ID: 1759793862 Enrollment ID: I20201215000554 |
Provider Name | Darius Jayme Candelario |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801543855 PECOS PAC ID: 2769860154 Enrollment ID: I20220624000442 |
Provider Name | Seungmin Kim |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1760119747 PECOS PAC ID: 7719357656 Enrollment ID: I20230110001772 |
Mailing Address | Practice Location Address |
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Whitmire Chiropractic 1126 Lancaster Dr Ne, Salem, OR 97301-2933 Ph: (503) 362-1002 | Whitmire Chiropractic 1126 Lancaster Dr Ne, Salem, OR 97301-2933 Ph: (503) 362-1002 |