| A Healing Space Inc. | |
|
171 Lawrence St. Eugene OR 97401 | |
| (541) 343-1887 | |
| (541) 284-2099 |
| Full Name | A Healing Space Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 171 Lawrence St., Eugene, Oregon |
| Authorized Official Name and Position | Adam Drapkin (PRESIDENT) |
| Authorized Official Contact | 5413431887 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| A Healing Space Inc. 171 Lawrence St. Eugene OR 97401 Ph: (541) 343-1887 | A Healing Space Inc. 171 Lawrence St. Eugene OR 97401 Ph: (541) 343-1887 |
| NPI Number | 1154516706 |
|---|---|
| Provider Enumeration Date | 09/07/2007 |
| Last Update Date | 06/20/2018 |
| Medicare PECOS PAC ID | 8123108461 |
|---|---|
| Medicare Enrollment ID | O20071228000022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154516706 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 3319 (Oregon) | Primary |
| Provider Name | Adam L Drapkin |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1497897359 PECOS PAC ID: 9931299765 Enrollment ID: I20071218000083 |
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