| Solutions Sports And Spine, Inc | |
|
815 Ne Halsey St Portland OR 97232-1219 | |
| (971) 266-0957 | |
| (503) 994-1917 |
| Full Name | Solutions Sports And Spine, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 815 Ne Halsey St, Portland, Oregon |
| Authorized Official Name and Position | Phillip W Snell (PRESIDENT) |
| Authorized Official Contact | 9712660957 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Solutions Sports And Spine, Inc 2600 Ne Multnomah St Portland OR 97232-2130 Ph: (971) 266-0957 | Solutions Sports And Spine, Inc 815 Ne Halsey St Portland OR 97232-1219 Ph: (971) 266-0957 |
| NPI Number | 1760649198 |
|---|---|
| Provider Enumeration Date | 05/22/2008 |
| Last Update Date | 05/02/2022 |
| Medicare PECOS PAC ID | 7113218710 |
|---|---|
| Medicare Enrollment ID | O20160628002247 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760649198 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 27 3379 (Oregon) | Primary |
| Provider Name | Phillip W Snell |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1346270550 PECOS PAC ID: 5092006601 Enrollment ID: I20160628002556 |
| Provider Name | Tyler Johnson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1790436640 PECOS PAC ID: 7416349774 Enrollment ID: I20220118001201 |
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