| Hosmer Chiropractic Health Llc | |
|
1030 Nw Marshall St Portland OR 97209-3472 | |
| (503) 227-2279 | |
| (888) 767-4379 |
| Full Name | Hosmer Chiropractic Health Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1030 Nw Marshall St, Portland, Oregon |
| Authorized Official Name and Position | Seth E Hosmer (OWNER) |
| Authorized Official Contact | 5032272279 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hosmer Chiropractic Health Llc 1030 Nw Marshall St Portland OR 97209-3472 Ph: (503) 227-2279 | Hosmer Chiropractic Health Llc 1030 Nw Marshall St Portland OR 97209-3472 Ph: (503) 227-2279 |
| NPI Number | 1225316128 |
|---|---|
| Provider Enumeration Date | 07/26/2011 |
| Last Update Date | 10/21/2016 |
| Medicare PECOS PAC ID | 6507025228 |
|---|---|
| Medicare Enrollment ID | O20120315000217 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225316128 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Seth E Hosmer |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1629247945 PECOS PAC ID: 4587823208 Enrollment ID: I20120315000253 |
| Provider Name | Philip Devasto |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1548566227 PECOS PAC ID: 3870739964 Enrollment ID: I20130416000222 |
| Provider Name | Justin R Jelen |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1518234350 PECOS PAC ID: 2365669439 Enrollment ID: I20140813001717 |
| Provider Name | Kevin Yurkish |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1205347440 PECOS PAC ID: 2264792720 Enrollment ID: I20180201002980 |
| Provider Name | Jessi F Gradin |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1538633094 PECOS PAC ID: 1557609724 Enrollment ID: I20190213001584 |
| Provider Name | Arden T Freedman |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1487216511 PECOS PAC ID: 5294061495 Enrollment ID: I20190725002304 |
| Provider Name | Sydney K Rowan |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1134769631 PECOS PAC ID: 7113353673 Enrollment ID: I20200204002765 |
| Provider Name | Cooper J Adams |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1952848764 PECOS PAC ID: 8123455730 Enrollment ID: I20200220001659 |
| Provider Name | Nicholas B West |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1568879708 PECOS PAC ID: 4880912682 Enrollment ID: I20200225001747 |
| Provider Name | Samuel Sisto-lopez |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1467083097 PECOS PAC ID: 6103237094 Enrollment ID: I20201125000944 |
| Provider Name | Charlene T Mcmeeken |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1649871203 PECOS PAC ID: 4880005396 Enrollment ID: I20211206001397 |
| Provider Name | Tylor Justin |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1366193245 PECOS PAC ID: 4284028176 Enrollment ID: I20220217002532 |
| Provider Name | David L Whitlow |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1417575655 PECOS PAC ID: 9739558933 Enrollment ID: I20221209002458 |
| Provider Name | Brittany C Hutcheon |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1811600828 PECOS PAC ID: 1456723683 Enrollment ID: I20230215002484 |
| Provider Name | Juliann N Whitney |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1821735135 PECOS PAC ID: 8426425851 Enrollment ID: I20230323002544 |
| Provider Name | Alexander E Kagle |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1255111522 PECOS PAC ID: 4688021272 Enrollment ID: I20231102003381 |
| Provider Name | Madeline R Mccalder |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1992579650 PECOS PAC ID: 2163873712 Enrollment ID: I20240108003999 |
| Provider Name | Renata A Retter |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1225808926 PECOS PAC ID: 5092150128 Enrollment ID: I20240228004505 |
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