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NPI Code Detail

MEDICARE: MR. BRUCE D. CHASER D. C.

MEDICARE: MR. BRUCE D. CHASER D. 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
1111N00000XChiropractor272031OR

General Provider Information

NPI Number : 1043244544
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. BRUCE D. CHASER D. C.
Provider Business Mailing Address
First Line : 3942 SE HAWTHORNE BLVD
Second Line :
City : PORTLAND
State : OR
Zip : 97214-5242
Country : US
Telephone Number : 503-235-5484
Fax Number : 503-235-3956
Provider Business Practice Location Address
First Line : 3942 SE HAWTHORNE BLVD
Second Line :
City : PORTLAND
State : OR
Zip : 97214-5242
Country : US
Telephone Number : 503-235-5484
Fax Number : 503-235-3956
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2006
Last Update Date : 07/08/2007

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