| Center For Chiropractic & Pain Rehabilitation, Llc | |
|
3241 Ne Broadway St Portland OR 97232-1855 | |
| (503) 282-8582 | |
| Not Available |
| Full Name | Center For Chiropractic & Pain Rehabilitation, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3241 Ne Broadway St, Portland, Oregon |
| Authorized Official Name and Position | Megan Anne Ziskovsky (OWNER) |
| Authorized Official Contact | 5032828582 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Chiropractic & Pain Rehabilitation, Llc 3241 Ne Broadway Portland OR 97232-1855 Ph: () - | Center For Chiropractic & Pain Rehabilitation, Llc 3241 Ne Broadway St Portland OR 97232-1855 Ph: (503) 282-8582 |
| NPI Number | 1215148192 |
|---|---|
| Provider Enumeration Date | 05/24/2007 |
| Last Update Date | 04/29/2021 |
| Medicare PECOS PAC ID | 5991603268 |
|---|---|
| Medicare Enrollment ID | O20031223000449 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215148192 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Megan A Ziskovsky |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1770683328 PECOS PAC ID: 7315127123 Enrollment ID: I20110211000173 |
| Provider Name | Michael T Daglen |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1720377633 PECOS PAC ID: 3274703830 Enrollment ID: I20110909002442 |
| Provider Name | Glenn F Sykes |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1104994581 PECOS PAC ID: 0244471688 Enrollment ID: I20131004000279 |
| Provider Name | Peter Macris |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1720236599 PECOS PAC ID: 5395969752 Enrollment ID: I20140605000869 |
| Provider Name | Amelia Leigh Schildmeyer |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1467901348 PECOS PAC ID: 1658659552 Enrollment ID: I20161027001733 |
| Provider Name | Alissa Suzanne Fields |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1790156024 PECOS PAC ID: 8123306388 Enrollment ID: I20180209002063 |
| Provider Name | Austin Alec Nolan |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1093273906 PECOS PAC ID: 6406199827 Enrollment ID: I20190528000664 |
| Provider Name | Kristen Dominique Castillon |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1609635945 PECOS PAC ID: 9436591336 Enrollment ID: I20240523001668 |
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