| Schacker Chiropractic, Llc | |
|
5308 Se Rhone St. Portland OR 97206 | |
| (503) 775-6885 | |
| (503) 775-2451 |
| Full Name | Schacker Chiropractic, Llc |
|---|---|
| Speciality | Chiropractor |
| Location | 5308 Se Rhone St., Portland, Oregon |
| Authorized Official Name and Position | Rebecca Ruth Schacker (OWNER) |
| Authorized Official Contact | 5034757560 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Schacker Chiropractic, Llc 5308 Se Rhone St. Portland OR 97206 Ph: (503) 775-6885 | Schacker Chiropractic, Llc 5308 Se Rhone St. Portland OR 97206 Ph: (503) 775-6885 |
| NPI Number | 1700027505 |
|---|---|
| Provider Enumeration Date | 03/09/2009 |
| Last Update Date | 12/16/2010 |
| Medicare PECOS PAC ID | 0446430243 |
|---|---|
| Medicare Enrollment ID | O20110211000121 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700027505 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 111N00000X | Chiropractor | 3551 (Oregon) | Primary |
| Provider Name | Rebecca R Schacker |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1679635775 PECOS PAC ID: 2163602962 Enrollment ID: I20110211000143 |
| Provider Name | Krystal Lynn La Plante |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1144841982 PECOS PAC ID: 0547671554 Enrollment ID: I20210909002223 |
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