Best Chiropractic Clinic | |
12795 Sw 3rd St Beaverton OR 97005-2704 | |
(503) 641-4244 | |
(503) 641-0551 |
Full Name | Best Chiropractic Clinic |
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Speciality | Clinic/Center |
Location | 12795 Sw 3rd St, Beaverton, Oregon |
Authorized Official Name and Position | Ssung J Kimmi (PRESIDENT) |
Authorized Official Contact | 5036414244 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Best Chiropractic Clinic 12795 Sw 3rd Street Beaverton OR 97005 Ph: (503) 641-4244 | Best Chiropractic Clinic 12795 Sw 3rd St Beaverton OR 97005-2704 Ph: (503) 641-4244 |
NPI Number | 1568768992 |
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Provider Enumeration Date | 02/02/2011 |
Last Update Date | 01/27/2014 |
Medicare PECOS PAC ID | 1658553219 |
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Medicare Enrollment ID | O20110303000585 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568768992 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 3444 (Oregon) | Primary |
Provider Name | Ssung J Kimmi |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1912026196 PECOS PAC ID: 1153224159 Enrollment ID: I20040128000655 |
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