| Gregory A. Oberg, P.s. | |
|
604 Williams Blvd Ste A Richland WA 99354-3207 | |
| (509) 946-0631 | |
| (509) 946-0632 |
| Full Name | Gregory A. Oberg, P.s. |
|---|---|
| Speciality | Clinic/Center |
| Location | 604 Williams Blvd Ste A, Richland, Washington |
| Authorized Official Name and Position | Gregory A Oberg (CHIROPRACTOR) |
| Authorized Official Contact | 5099460631 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory A. Oberg, P.s. 604 Williams Blvd Ste A Richland WA 99354-3207 Ph: (509) 946-0631 | Gregory A. Oberg, P.s. 604 Williams Blvd Ste A Richland WA 99354-3207 Ph: (509) 946-0631 |
| NPI Number | 1295919611 |
|---|---|
| Provider Enumeration Date | 12/20/2007 |
| Last Update Date | 11/30/2012 |
| Medicare PECOS PAC ID | 7618059536 |
|---|---|
| Medicare Enrollment ID | O20080131000299 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295919611 | NPI | - | NPPES |
| 0227634 | Other | WA | LABOR & INDUSTRIES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | CH00000995 (Washington) | Primary |
| Provider Name | Korey K Carleton |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1982235834 PECOS PAC ID: 3779910120 Enrollment ID: I20200224002031 |
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