| Agger Chiropractic Clinic Llc | |
|
2705 E Burnside St Ste 100 Portland OR 97214-1767 | |
| (503) 236-1304 | |
| (503) 236-3182 |
| Full Name | Agger Chiropractic Clinic Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2705 E Burnside St Ste 100, Portland, Oregon |
| Authorized Official Name and Position | Jo Ellen Pachelbel (CO-OWNER/OFFICE MANAGER) |
| Authorized Official Contact | 5033109443 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Agger Chiropractic Clinic Llc 2705 E Burnside St Ste 100 Portland OR 97214-1767 Ph: (503) 310-9443 | Agger Chiropractic Clinic Llc 2705 E Burnside St Ste 100 Portland OR 97214-1767 Ph: (503) 236-1304 |
| NPI Number | 1386819977 |
|---|---|
| Provider Enumeration Date | 04/24/2008 |
| Last Update Date | 03/20/2022 |
| Medicare PECOS PAC ID | 6507252368 |
|---|---|
| Medicare Enrollment ID | O20220404000354 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386819977 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Simon John Agger |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1427014364 PECOS PAC ID: 9133515992 Enrollment ID: I20220406002423 |
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