| Oregon Trail Chiropractic Llc | |
|
437 Ne Main St, Estacada, OR 97023-8528 | |
| (503) 630-4037 | |
| (503) 630-5636 |
| Full Name | Oregon Trail Chiropractic Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 437 Ne Main St, Estacada, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487942215 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 4059 (Oregon) | Primary |
| Provider Name | Jonathan C Rhue |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1447497789 PECOS PAC ID: 8325350770 Enrollment ID: I20150629000902 |
| Provider Name | Chris Johnson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1720586340 PECOS PAC ID: 2668735374 Enrollment ID: I20180411000914 |
| Provider Name | Rhea Marie Putnam |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1942885264 PECOS PAC ID: 8628477973 Enrollment ID: I20210519000845 |
| Mailing Address | Practice Location Address |
|---|---|
| Oregon Trail Chiropractic Llc Po Box 909, Boring, OR 97009-0909 Ph: (503) 630-4037 | Oregon Trail Chiropractic Llc 437 Ne Main St, Estacada, OR 97023-8528 Ph: (503) 630-4037 |
Dr. Jonathan Rhue, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 437 Ne Main St, Estacada, OR 97023 Phone: 503-630-4037 Fax: 503-630-5636 | |
Michael T Malone Iii, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 437 Ne Main St, Estacada, OR 97023 Phone: 503-630-4037 Fax: 503-630-5636 |