| Gregg Chiropractic Llc | |
|
4425 Sw Corbett Ave Portland OR 97239-4260 | |
| (503) 225-9033 | |
| Not Available |
| Full Name | Gregg Chiropractic Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 4425 Sw Corbett Ave, Portland, Oregon |
| Authorized Official Name and Position | Sean Patrick Gregg (OWNER/CHIROPRACTOR) |
| Authorized Official Contact | 5032259033 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gregg Chiropractic Llc 4425 Sw Corbett Ave Portland OR 97239-4260 Ph: (503) 225-9033 | Gregg Chiropractic Llc 4425 Sw Corbett Ave Portland OR 97239-4260 Ph: (503) 225-9033 |
| NPI Number | 1164778692 |
|---|---|
| Provider Enumeration Date | 08/02/2012 |
| Last Update Date | 08/02/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164778692 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 4055 (Oregon) | Primary |
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