| Crater Chiropractic Clinic Pc | |
|
3560 National Rd, Suite 100, Medford, OR 97504-4008 | |
| (541) 734-7333 | |
| (541) 734-8802 |
| Full Name | Crater Chiropractic Clinic Pc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 3560 National Rd, Medford, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710930151 | NPI | - | NPPES |
| 1790811511 | Other | OR | NPI INDIVIDUAL |
| 1710930151 | Other | OR | NPI GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 272888 (Oregon) | Primary |
| Provider Name | Michael L Warren |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1790811511 PECOS PAC ID: 3476592353 Enrollment ID: I20050502000334 |
| Provider Name | Michael M Powell |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1871595298 PECOS PAC ID: 3870785785 Enrollment ID: I20101011000898 |
| Mailing Address | Practice Location Address |
|---|---|
| Crater Chiropractic Clinic Pc 3560 National Rd, Suite 100, Medford, OR 97504-4008 Ph: (541) 734-7333 | Crater Chiropractic Clinic Pc 3560 National Rd, Suite 100, Medford, OR 97504-4008 Ph: (541) 734-7333 |
Dr. Jeffrey Scott Taylor, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1744 E Mcandrews Rd, Ste. A, Medford, OR 97504 Phone: 541-779-8338 Fax: 541-779-8338 | |
John D Blenkush, Dc, Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 3190 State St, Suite 101, Medford, OR 97504 Phone: 541-772-4399 Fax: 541-772-4228 | |
Dr. Cornelius Amos Towne, Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 977 Royal Ave, Medford, OR 97504 Phone: 541-779-8331 Fax: 541-779-0217 | |
Towne Chiropractic Clinic P.c. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 977 Royal Ave, Medford, OR 97504 Phone: 541-779-8331 | |
Corey O'neill, D.C Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 943 Automation Way, A1, Medford, OR 97504 Phone: 541-601-5062 | |
Steve Issac Santoni, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 4149 S Pacific Hwy Ste 434, Medford, OR 97501 Phone: 541-816-7710 | |
Dr. Clark H Wolf Iii, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 524 E Main St, Medford, OR 97504 Phone: 541-773-2379 Fax: 541-773-2379 |