Mountain Life Clinic is a medicare enrolled "Chiropractor" provider in Welches, Oregon. Their current practice location is
67195 E Highway 26, Welches, Oregon. You can reach out to their office (for appointments etc.) via phone at
(503) 288-4454.
Mountain Life Clinic is licensed to practice in NU (license number ) and it also participates in the medicare program. Mountain Life Clinic
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1922759174.
Healthcare Provider's Profile
| Full Name | Mountain Life Clinic |
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| Type | Facility |
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| Speciality | Chiropractor |
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| Location | 67195 E Highway 26, Welches, Oregon |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1922759174
- Provider Enumeration Date: 01/10/2022
- Last Update Date: 06/16/2025
Medicare PECOS Information:
- PECOS PAC ID: 0648786426
- Enrollment ID: O20250718002630
Medical Identifiers
Medical identifiers for Mountain Life Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1922759174 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | (NU) | Primary |
| 225700000X | Massage Therapist | (NU) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Mountain Life Clinic acts as a billing entity for following providers:
| Provider Name | Jason C Brown |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1134261241
PECOS PAC ID: 8325329683
Enrollment ID: I20161227002067 |
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| Provider Name | Darion Dunlap |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1235955238
PECOS PAC ID: 3173029253
Enrollment ID: I20250929003826 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mountain Life Clinic is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mountain Life Clinic
118 N Killingsworth St,
Portland, OR 97217-2435
Ph: (503) 288-4454 | Mountain Life Clinic
67195 E Highway 26,
Welches, OR 97067-9610
Ph: (503) 288-4454 |
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