Mws Chiropractic, Inc | |
999 Nw Circle Blvd Corvallis OR 97330-1408 | |
(541) 754-2225 | |
(541) 752-9086 |
Full Name | Mws Chiropractic, Inc |
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Speciality | Clinic/Center |
Location | 999 Nw Circle Blvd, Corvallis, Oregon |
Authorized Official Name and Position | Michael Wade Sorah (OWNER) |
Authorized Official Contact | 5417542225 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mws Chiropractic, Inc 999 Nw Circle Blvd Corvallis OR 97330-1408 Ph: (541) 754-2225 | Mws Chiropractic, Inc 999 Nw Circle Blvd Corvallis OR 97330-1408 Ph: (541) 754-2225 |
NPI Number | 1780127795 |
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Provider Enumeration Date | 11/22/2016 |
Last Update Date | 11/22/2016 |
Medicare PECOS PAC ID | 3173808904 |
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Medicare Enrollment ID | O20170317001768 |
Identifier | Type | State | Issuer |
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1780127795 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | 2949 (Oregon) | Primary |
Provider Name | Michael W Sorah |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1962559625 PECOS PAC ID: 3577626969 Enrollment ID: I20090112000282 |
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