MEDICARE: GEARY J MICHELS, D.C., P.C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	2042	OR

General Provider Information

NPI Number	:	1003089335
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GEARY J MICHELS, D.C., P.C

Provider Business Mailing Address
First Line	:	4666 COMMERCIAL ST SE
Second Line	:
City	:	SALEM
State	:	OR
Zip	:	97302-1902
Country	:	US
Telephone Number	:	503-399-7607
Fax Number	:	503-364-1016

Provider Business Practice Location Address
First Line	:	4666 COMMERCIAL ST SE
Second Line	:
City	:	SALEM
State	:	OR
Zip	:	97302-1902
Country	:	US
Telephone Number	:	503-399-7607
Fax Number	:	503-364-1016

Authorized Official
Title or Position	:	CHIROPRACTIC PHYSICIAN
Name	:	DR. GEARY JOE MICHELS
Credential	:	D.C.
Telephone Number	:	503-399-7607

Provider Enumeration Date	:	04/08/2008
Last Update Date	:	04/08/2008

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