| Columbia Pacific Chiropractic | |
|
679 E Harbor Dr, #140, Warrenton, OR 97146-9717 | |
| (503) 861-1661 | |
| (503) 861-0254 |
| Full Name | Columbia Pacific Chiropractic |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 679 E Harbor Dr, Warrenton, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154779791 | NPI | - | NPPES |
| R172616 | Other | OR | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 5008 (Oregon) | Primary |
| Provider Name | Jesse O Brockey |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1942583711 PECOS PAC ID: 7416183249 Enrollment ID: I20131126000740 |
| Mailing Address | Practice Location Address |
|---|---|
| Columbia Pacific Chiropractic Po Box 576, Warrenton, OR 97146-0576 Ph: (503) 861-1661 | Columbia Pacific Chiropractic 679 E Harbor Dr, #140, Warrenton, OR 97146-9717 Ph: (503) 861-1661 |
Dr. Stephen D Johnson, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 679 E Harbor St, Suite 140, Warrenton, OR 97146 Phone: 503-861-1661 Fax: 503-861-1662 | |
North Coast Chiropractic Center Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 679 E Harbor St Ste 140, Warrenton, OR 97146 Phone: 503-861-1661 Fax: 503-861-1662 | |
Dr. Adam Lopez, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 679 E Harbor St, Suite140, Warrenton, OR 97146 Phone: 503-861-1661 Fax: 503-861-1662 | |
Dr. Jesse Owen Brockey, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 679 E Harbor Dr, # 140, Warrenton, OR 97146 Phone: 503-861-1661 Fax: 503-861-0254 |