| Scappoose Chiropractic Clinic Pc | |
|
52481 Sw 1st Street Scappoose OR 97056 | |
| (503) 543-3195 | |
| (503) 543-7532 |
| Full Name | Scappoose Chiropractic Clinic Pc |
|---|---|
| Speciality | Clinic/center |
| Location | 52481 Sw 1st Street, Scappoose, Oregon |
| Authorized Official Name and Position | Gary Micheal Domby (OWNER/PRESIDENT) |
| Authorized Official Contact | 5035433195 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Scappoose Chiropractic Clinic Pc Po Box 1108 Scappoose OR 97056-1108 Ph: (503) 543-3195 | Scappoose Chiropractic Clinic Pc 52481 Sw 1st Street Scappoose OR 97056 Ph: (503) 543-3195 |
| NPI Number | 1619140506 |
|---|---|
| Provider Enumeration Date | 04/11/2008 |
| Last Update Date | 04/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619140506 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 27 2310 (Oregon) | Primary |
Ohsu Scappoose Rural Health Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 51377 Sw Old Portland Rd, Scappoose, OR 97056 Phone: 503-418-4222 Fax: 503-418-4223 | |
La Vita Bella Therapeutic Massage & Bodywork Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 51577 Columbia River Hwy Ste D, Scappoose, OR 97056 Phone: 503-396-9617 |