| Catalyst Chiropractic And Rehabilitation | |
|
13025 Sw Millikan Way Ste 120 Beaverton OR 97005-2562 | |
| (503) 526-8782 | |
| (503) 526-8721 |
| Full Name | Catalyst Chiropractic And Rehabilitation |
|---|---|
| Speciality | Clinic/Center |
| Location | 13025 Sw Millikan Way, Beaverton, Oregon |
| Authorized Official Name and Position | Kip Thompson (OWNER) |
| Authorized Official Contact | 5035268782 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Catalyst Chiropractic And Rehabilitation 13025 Sw Millikan Way Ste 120 Beaverton OR 97005-2562 Ph: (503) 526-8782 | Catalyst Chiropractic And Rehabilitation 13025 Sw Millikan Way Ste 120 Beaverton OR 97005-2562 Ph: (503) 526-8782 |
| NPI Number | 1396013066 |
|---|---|
| Provider Enumeration Date | 12/08/2011 |
| Last Update Date | 01/17/2017 |
| Medicare PECOS PAC ID | 6002069689 |
|---|---|
| Medicare Enrollment ID | O20130109000716 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396013066 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 3996 (Oregon) | Primary |
| Provider Name | Kip Whitney Thompson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1003121567 PECOS PAC ID: 7810140498 Enrollment ID: I20130109000738 |
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