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NPI Code Detail

MEDICARE: DR. MARTIN PETROVIC DC

MEDICARE:  DR. MARTIN  PETROVIC  DC
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
1111N00000XChiropractor5852OR

General Provider Information

NPI Number : 1285144170
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARTIN PETROVIC DC
Provider Business Mailing Address
First Line : 10700 SW BEAVERTON HILLSDALE HWY STE 622
Second Line :
City : BEAVERTON
State : OR
Zip : 97005-3037
Country : US
Telephone Number : 503-809-0800
Fax Number :
Provider Business Practice Location Address
First Line : 10700 SW BEAVERTON HILLSDALE HWY STE 622
Second Line :
City : BEAVERTON
State : OR
Zip : 97005-3037
Country : US
Telephone Number : 503-809-0800
Fax Number : 971-229-4998
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2017
Last Update Date : 03/07/2024

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Directions to “ DR. MARTIN PETROVIC DC” Practice Location

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