| Dr Daniel Mutter, DC | |
|
3810 Se Division St Ste C, Portland, OR 97202-1678 | |
| (971) 645-7576 | |
| (971) 999-7027 |
| Full Name | Dr Daniel Mutter |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 3810 Se Division St Ste C, Portland, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316322282 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 32888 (California) | Secondary |
| 111N00000X | Chiropractor | 38MC00710400 (New Jersey) | Secondary |
| 111N00000X | Chiropractor | 5727 (Oregon) | Primary |
| Provider Name | Demdc Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1932611993 PECOS PAC ID: 9537609110 Enrollment ID: O20240910002149 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Daniel Mutter, DC 3810 Se Division St Ste C, Portland, OR 97202-1678 Ph: (971) 645-7576 | Dr Daniel Mutter, DC 3810 Se Division St Ste C, Portland, OR 97202-1678 Ph: (971) 645-7576 |
Dorian D Quinn, Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 6230 Ne Halsey St, Portland, OR 97213 Phone: 503-236-8697 Fax: 503-236-8697 | |
Dr. Daniel Antonio Lujan, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 4425 Sw Corbett Ave, Portland, OR 97239 Phone: 503-225-9033 Fax: 503-225-9039 | |
Beaumont Chiropractic Clinic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 4211 Ne Fremont St, Portland, OR 97213 Phone: 503-287-6666 Fax: 503-287-1390 | |
Caressa Gullikson, Dc Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 200 Ne 20th Ave Ste 20, Portland, OR 97232 Phone: 974-229-1384 | |
Dr. Dylan Savage, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 1030 Nw Marshall St, Portland, OR 97209 Phone: 503-227-2279 | |
Dr. Marelle O'meara, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 121 Sw Morrison St, Suite 905, Portland, OR 97204 Phone: 503-222-7304 Fax: 503-227-8210 | |
Dr. Elise G. Hewitt, DC, CST, DICCP Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2031 E Burnside St, Portland, OR 97214 Phone: 503-224-2100 Fax: 503-224-2129 |