| Milwaukie Chiropractic & Massage Clinic, Pc | |
|
5111 Se Lake Rd Milwaukie OR 97222-4767 | |
| (503) 659-5900 | |
| Not Available |
| Full Name | Milwaukie Chiropractic & Massage Clinic, Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5111 Se Lake Rd, Milwaukie, Oregon |
| Authorized Official Name and Position | David G. Mealey (PRESIDENT) |
| Authorized Official Contact | 5036595900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Milwaukie Chiropractic & Massage Clinic, Pc 5111 Se Lake Rd Milwaukie OR 97222-4767 Ph: (503) 659-5900 | Milwaukie Chiropractic & Massage Clinic, Pc 5111 Se Lake Rd Milwaukie OR 97222-4767 Ph: (503) 659-5900 |
| NPI Number | 1891981999 |
|---|---|
| Provider Enumeration Date | 09/21/2007 |
| Last Update Date | 01/07/2010 |
| Medicare PECOS PAC ID | 0143317859 |
|---|---|
| Medicare Enrollment ID | O20071027000082 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891981999 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | David G Mealey |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1386788875 PECOS PAC ID: 9436245180 Enrollment ID: I20071011000344 |
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