MEDICARE: MCHALE CHIROPRACTIC 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	261QM2500X	Medical Specialty Clinic/Center	27 2916	OR

General Provider Information

NPI Number	:	1336313162
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MCHALE CHIROPRACTIC P.C.

Provider Business Mailing Address
First Line	:	707 7TH STREET
Second Line	:
City	:	OREGON CITY
State	:	OR
Zip	:	97045
Country	:	US
Telephone Number	:	503-659-5029
Fax Number	:	503-652-1886

Provider Business Practice Location Address
First Line	:	707 7TH ST
Second Line	:
City	:	OREGON CITY
State	:	OR
Zip	:	97045-2346
Country	:	US
Telephone Number	:	503-659-5029
Fax Number	:	503-652-1886

Authorized Official
Title or Position	:	DR/OWNER
Name	:	DR. BRIAN DENIS MCHALE
Credential	:	D.C.
Telephone Number	:	503-659-5029

Provider Enumeration Date	:	04/14/2008
Last Update Date	:	04/14/2008

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