| Dyson Enterprises Inc | |
|
2303 E Burnside St Portland OR 97214-1655 | |
| (503) 287-7733 | |
| (503) 281-7703 |
| Full Name | Dyson Enterprises Inc |
|---|---|
| Speciality | Chiropractor |
| Location | 2303 E Burnside St, Portland, Oregon |
| Authorized Official Name and Position | Gail Karvonen (MANAGING CHIROPRACTIC PHYSICIAN) |
| Authorized Official Contact | 5032877733 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dyson Enterprises Inc 2303 E Burnside St Portland OR 97214-1655 Ph: (503) 287-7733 | Dyson Enterprises Inc 2303 E Burnside St Portland OR 97214-1655 Ph: (503) 287-7733 |
| NPI Number | 1508037045 |
|---|---|
| Provider Enumeration Date | 03/12/2008 |
| Last Update Date | 03/14/2008 |
| Medicare PECOS PAC ID | 2668550906 |
|---|---|
| Medicare Enrollment ID | O20080428000062 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508037045 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 111N00000X | Chiropractor | 2224 (Oregon) | Primary |
| Provider Name | Gail Karvonen |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1881678910 PECOS PAC ID: 2264511674 Enrollment ID: I20080512000294 |
| Provider Name | Taura Maia Lemmon |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1821314055 PECOS PAC ID: 4688893399 Enrollment ID: I20140911000991 |
| Provider Name | Kelley Chaloux Silon |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1871652370 PECOS PAC ID: 0840534244 Enrollment ID: I20181211002258 |
| Provider Name | Samuel Sisto-lopez |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1467083097 PECOS PAC ID: 6103237094 Enrollment ID: I20201125000944 |
| Provider Name | Kailey Koopman |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1851047906 PECOS PAC ID: 9234506932 Enrollment ID: I20221109002872 |
| Provider Name | Kirsten M Courtney |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1023539665 PECOS PAC ID: 4385011097 Enrollment ID: I20221109003475 |
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