| Whitmire Chiropractic Pc | |
|
1126 Lancaster Dr Ne, Salem, OR 97301-2933 | |
| (503) 362-1002 | |
| (503) 362-1006 |
| Full Name | Whitmire Chiropractic Pc |
|---|---|
| Type | Facility |
| Speciality | Clinic/center - Multi-specialty |
| Location | 1126 Lancaster Dr Ne, Salem, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245593052 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 4094 (Oregon) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Gideon M Tarnasky |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1457664732 PECOS PAC ID: 5991820920 Enrollment ID: I20100915000232 |
| Provider Name | John-paul David Whitmire |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1548550981 PECOS PAC ID: 0345413555 Enrollment ID: I20111103000863 |
| Provider Name | Joshua Andrew Orr |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1699377259 PECOS PAC ID: 1759793862 Enrollment ID: I20201215000554 |
| Provider Name | Owen Fortney |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1326736240 PECOS PAC ID: 2668822933 Enrollment ID: I20231228002284 |
| Provider Name | Benjamin C Mcintosh |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1942603287 PECOS PAC ID: 4981921350 Enrollment ID: I20241218002438 |
| Mailing Address | Practice Location Address |
|---|---|
| Whitmire Chiropractic Pc 1126 Lancaster Dr Ne, Salem, OR 97301-2933 Ph: (503) 362-1002 | Whitmire Chiropractic Pc 1126 Lancaster Dr Ne, Salem, OR 97301-2933 Ph: (503) 362-1002 |