Physician Compare National (NPI:1225193527)

HEALTHCARE PROVIDER: GEORGE EDWIN HYLAND D.C.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1225193527
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4688612294
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20050422000610
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HYLAND
	Individual professional last name
Provider First Name	GEORGE
	Individual professional first name
Provider Middle Name	E
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	DC
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	WESTERN STATES COLLEGE OF CHIROPRACTIC
	Individual professional's medical school
Graduation Year	1980
	Individual professional's medical school graduation year
Primary Specialty	CHIROPRACTIC
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	OREGON TRAIL CHIROPRACTIC LLC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	9335451780
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	3
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	17500 STRAUSS AVE
	Group Practice or individual's line 1 address
City	SANDY
	Group Practice or individual's city
State	OR
	Group Practice or individual's state
Zip Code	970558060
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5036685822
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y