| Opdahl Chiropractic Office Inc. | |
|
105 N Parkway Ave Ste 101, Battle Ground, WA 98604-9129 | |
| (360) 666-6001 | |
| (360) 666-6002 |
| Full Name | Opdahl Chiropractic Office Inc. |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 105 N Parkway Ave Ste 101, Battle Ground, Washington |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134315781 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Gregory T Lackey |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1932125333 PECOS PAC ID: 5092706895 Enrollment ID: I20040520000814 |
| Provider Name | Thomas J Opdahl |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1679647333 PECOS PAC ID: 8426034711 Enrollment ID: I20040629001578 |
| Provider Name | Richard G Ward |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1841337979 PECOS PAC ID: 9830257393 Enrollment ID: I20081028000201 |
| Provider Name | Brian P Martin |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1205949963 PECOS PAC ID: 5294805727 Enrollment ID: I20151204001510 |
| Provider Name | David I Johnson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1003238148 PECOS PAC ID: 2365741824 Enrollment ID: I20160504001991 |
| Provider Name | Douglass M Klobutcher |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1093262842 PECOS PAC ID: 8224316070 Enrollment ID: I20161028001061 |
| Provider Name | Nicholas R Singleton |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1285910497 PECOS PAC ID: 0345533477 Enrollment ID: I20170127000801 |
| Provider Name | Seth Gambee |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1942684030 PECOS PAC ID: 2163729955 Enrollment ID: I20180630000062 |
| Provider Name | Megan Lynn Frasier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346733649 PECOS PAC ID: 3072866920 Enrollment ID: I20181023003758 |
| Provider Name | Lyudmila G Sklyarenko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942733985 PECOS PAC ID: 3779852611 Enrollment ID: I20191119002047 |
| Provider Name | William Moore |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1689067142 PECOS PAC ID: 8022383751 Enrollment ID: I20200911001750 |
| Provider Name | Joseph M Martin |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1467030759 PECOS PAC ID: 7618376088 Enrollment ID: I20210604002296 |
| Provider Name | Kyle R Gordon |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1407476849 PECOS PAC ID: 0840606422 Enrollment ID: I20220517000571 |
| Provider Name | Elizabeth A Vader |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1639894330 PECOS PAC ID: 7214306489 Enrollment ID: I20221209001238 |
| Provider Name | Shannon M Schwartz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578297669 PECOS PAC ID: 0547631871 Enrollment ID: I20230125001648 |
| Provider Name | Tyrell T Pincock |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1801669171 PECOS PAC ID: 5092168476 Enrollment ID: I20240201002525 |
| Provider Name | Kyle M Williams |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1124899653 PECOS PAC ID: 0446694822 Enrollment ID: I20240214001936 |
| Mailing Address | Practice Location Address |
|---|---|
| Opdahl Chiropractic Office Inc. 105 N Parkway Ave Ste 101, Battle Ground, WA 98604-9129 Ph: (360) 666-6001 | Opdahl Chiropractic Office Inc. 105 N Parkway Ave Ste 101, Battle Ground, WA 98604-9129 Ph: (360) 666-6001 |
Dr. Elisha Michael Hudson, ND, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 407 N Parkway Ave, Battle Ground, WA 98604 Phone: 360-926-0026 Fax: 360-450-5044 | |
Battle Ground Chiropractic, Ps Chiropractor Medicare: Medicare Enrolled Practice Location: 1908 Nw 1st Way Ste 113, Battle Ground, WA 98604 Phone: 360-687-3181 Fax: 360-687-1992 | |
Battle Ground Advantage Chiropractic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2210 W Main St Ste 101, Battle Ground, WA 98604 Phone: 360-369-5150 | |
Kyle Matthew Williams, D.C Chiropractor Medicare: Medicare Enrolled Practice Location: 105 N Parkway Ave, Battle Ground, WA 98604 Phone: 360-666-6001 Fax: 360-666-6002 | |
Dr. Travis-dean M Johns, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 105 N Parkway Ave, Battle Ground, WA 98604 Phone: 360-666-6001 | |
Parkway Chiropractic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 11 S Parkway Ave, Battle Ground, WA 98604 Phone: 360-687-8787 |