| Lifestreams Chiropractic Center, Llc | |
|
901 Brutscher St Ste 210, Newberg, OR 97132-6094 | |
| (503) 537-2052 | |
| (503) 538-8315 |
| Full Name | Lifestreams Chiropractic Center, Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 901 Brutscher St Ste 210, Newberg, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942588785 | NPI | - | NPPES |
| 0000QGHFP | Other | OR | MEDICARE ID TYPE UNSPECIFIED |
| 274833 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| 261Q00000X | Clinic/center | 2863 (Oregon) | Secondary |
| Provider Name | Mary Ann Tack |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1346347929 PECOS PAC ID: 4880652817 Enrollment ID: I20041222000427 |
| Mailing Address | Practice Location Address |
|---|---|
| Lifestreams Chiropractic Center, Llc 901 Brutscher St Ste 210, Newberg, OR 97132-6094 Ph: (503) 537-2052 | Lifestreams Chiropractic Center, Llc 901 Brutscher St Ste 210, Newberg, OR 97132-6094 Ph: (503) 537-2052 |
Oregon Sports And Family Chiropractic Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 434 Villa Rd, Newberg, OR 97132 Phone: 503-554-0022 Fax: 503-554-0033 | |
Newberg Spine And Sport Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2504 Portland Rd Ste A, Newberg, OR 97132 Phone: 503-538-9119 | |
Mrs. Anna Louise Rossi, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 114 E Hancock St, Newberg, OR 97132 Phone: 503-554-0661 | |
Dr. Jacob Malpass, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 114 E Hancock St, Newberg, OR 97132 Phone: 503-554-0661 Fax: 503-554-9126 | |
Impact Injury Center, Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 460 N Villa Rd, Newberg, OR 97132 Phone: 033-056-5855 | |
Dr. Jeffrey Mitchell Williams, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 460 N Villa Rd, Newberg, OR 97132 Phone: 503-305-6585 | |
Valerie Yuko Fitzgerald, LMT Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 308 N Villa Rd # 116, Newberg, OR 97132 Phone: 971-832-8014 |