MEDICARE: ASSOCIATED PHYSICIANS OF NORTH PLAINS

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

General Provider Information

NPI Number	:	1588164651
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASSOCIATED PHYSICIANS OF NORTH PLAINS

Provider Business Mailing Address
First Line	:	16742 SE DIVISION ST
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97236-1414
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10355 NW GLENCOE RD STE B
Second Line	:
City	:	NORTH PLAINS
State	:	OR
Zip	:	97133-8244
Country	:	US
Telephone Number	:	971-254-9988
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE MANAGER
Name	:	SERENA LENSGRAF
Credential	:
Telephone Number	:	971-254-9988

Provider Enumeration Date	:	02/15/2018
Last Update Date	:	02/15/2018

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Directions to “ASSOCIATED PHYSICIANS OF NORTH PLAINS ” Practice Location

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