| Estacada Chiropractic Clinic Inc. | |
|
437 Ne Main St Estacada OR 97023-8528 | |
| (503) 630-4037 | |
| (503) 630-5636 |
| Full Name | Estacada Chiropractic Clinic Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 437 Ne Main St, Estacada, Oregon |
| Authorized Official Name and Position | Michael Terrance Malone (CHIROPRACTOR) |
| Authorized Official Contact | 5036304037 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Estacada Chiropractic Clinic Inc. Po Box 37 Estacada OR 97023-0037 Ph: (503) 630-4037 | Estacada Chiropractic Clinic Inc. 437 Ne Main St Estacada OR 97023-8528 Ph: (503) 630-4037 |
| NPI Number | 1518138379 |
|---|---|
| Provider Enumeration Date | 03/19/2008 |
| Last Update Date | 03/19/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518138379 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 3195 (Oregon) | Primary |
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