| Kismet Chiropractic | |
|
3100 E Haworth Ave Ste 260 Newberg OR 97132-2197 | |
| (503) 538-5433 | |
| Not Available |
| Full Name | Kismet Chiropractic |
|---|---|
| Speciality | Clinic/Center |
| Location | 3100 E Haworth Ave Ste 260, Newberg, Oregon |
| Authorized Official Name and Position | Ty Weingard (MEMBER) |
| Authorized Official Contact | 2536914260 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kismet Chiropractic 700 Deborah Rd Ste 270 Newberg OR 97132-2270 Ph: () - | Kismet Chiropractic 3100 E Haworth Ave Ste 260 Newberg OR 97132-2197 Ph: (503) 538-5433 |
| NPI Number | 1437675733 |
|---|---|
| Provider Enumeration Date | 08/17/2017 |
| Last Update Date | 12/14/2023 |
| Medicare PECOS PAC ID | 3375818818 |
|---|---|
| Medicare Enrollment ID | O20171009002590 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437675733 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 5625 (Oregon) | Primary |
| Provider Name | Ty Weingard |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1811215163 PECOS PAC ID: 5294851770 Enrollment ID: I20151106002284 |
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