Be Well Corvallis Chiropractic | |
2721 Nw 9th St Corvallis OR 97330-3857 | |
(541) 754-1577 | |
Not Available |
Full Name | Be Well Corvallis Chiropractic |
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Speciality | Clinic/Center |
Location | 2721 Nw 9th St, Corvallis, Oregon |
Authorized Official Name and Position | Chad Randall Lamer (OWNER/CHIROPRACTOR) |
Authorized Official Contact | 6056955419 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Be Well Corvallis Chiropractic 2721 Nw 9th St Corvallis OR 97330-3857 Ph: (541) 754-1577 | Be Well Corvallis Chiropractic 2721 Nw 9th St Corvallis OR 97330-3857 Ph: (541) 754-1577 |
NPI Number | 1003368275 |
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Provider Enumeration Date | 11/03/2016 |
Last Update Date | 08/23/2017 |
Medicare PECOS PAC ID | 3476827783 |
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Medicare Enrollment ID | O20170926002357 |
Identifier | Type | State | Issuer |
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1003368275 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | 5014 (Oregon) | Primary |
Provider Name | Chad Randall Lamer |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1972554889 PECOS PAC ID: 5294746533 Enrollment ID: I20140923002601 |
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