| Yaquina Chiropractic | |
|
111 Se Douglas St Suite F-1 Newport OR 97365 | |
| (541) 264-8138 | |
| (541) 264-8238 |
| Full Name | Yaquina Chiropractic |
|---|---|
| Speciality | Clinic/center |
| Location | 111 Se Douglas St, Newport, Oregon |
| Authorized Official Name and Position | Kenneth Stanley Bishop (OWNER) |
| Authorized Official Contact | 5412648138 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Yaquina Chiropractic 111 Se Douglas St Suite F-1 Newport OR 97365 Ph: (541) 264-8138 | Yaquina Chiropractic 111 Se Douglas St Suite F-1 Newport OR 97365 Ph: (541) 264-8138 |
| NPI Number | 1730324906 |
|---|---|
| Provider Enumeration Date | 12/02/2008 |
| Last Update Date | 10/12/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730324906 | NPI | - | NPPES |
| R146211 | Other | OR | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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