| Baseline Chiropractic Clinic, Llc | |
|
1865 Nw 169th Pl Suite 100 Beaverton OR 97006-7327 | |
| (503) 614-8300 | |
| (503) 614-9081 |
| Full Name | Baseline Chiropractic Clinic, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 1865 Nw 169th Pl, Beaverton, Oregon |
| Authorized Official Name and Position | David M Panzer (OWNER) |
| Authorized Official Contact | 5036148300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Baseline Chiropractic Clinic, Llc 1865 Nw 169th Pl Suite 100 Beaverton OR 97006-7327 Ph: (503) 614-8300 | Baseline Chiropractic Clinic, Llc 1865 Nw 169th Pl Suite 100 Beaverton OR 97006-7327 Ph: (503) 614-8300 |
| NPI Number | 1639453376 |
|---|---|
| Provider Enumeration Date | 09/29/2011 |
| Last Update Date | 12/18/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639453376 | NPI | - | NPPES |
| 0-23082 | Other | OR | BLUE CROSS |
| 0000QGCRP | Other | OR | MEDICARE |
| 1093923104 | Other | OR | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 1925 (Oregon) | Primary |
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