MEDICARE: EUROPEAN CHIROPRACTIC CLINIC

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	111NX0800X	Orthopedic Chiropractor	1959	OR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1376701375
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EUROPEAN CHIROPRACTIC CLINIC

Provider Business Mailing Address
First Line	:	1205 WASHINGTON ST
Second Line	:
City	:	OREGON CITY
State	:	OR
Zip	:	97045-1644
Country	:	US
Telephone Number	:	503-557-2225
Fax Number	:	503-557-2080

Provider Business Practice Location Address
First Line	:	1205 WASHINGTON ST
Second Line	:
City	:	OREGON CITY
State	:	OR
Zip	:	97045-1644
Country	:	US
Telephone Number	:	503-557-2225
Fax Number	:	503-557-2080

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. KARL IVO POUL
Credential	:	D.C.
Telephone Number	:	503-557-2225

Provider Enumeration Date	:	05/27/2008
Last Update Date	:	05/27/2008

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Directions to “EUROPEAN CHIROPRACTIC CLINIC ” Practice Location

Language	Start Address	Practice Location

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