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NPI Code Detail

MEDICARE: COMPLETE HEALTH CHIROPRACTIC CENTER, LLC

MEDICARE: COMPLETE HEALTH CHIROPRACTIC CENTER, LLC
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
1111N00000XChiropractor272995OR

General Provider Information

NPI Number : 1790824001
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMPLETE HEALTH CHIROPRACTIC CENTER, LLC
Provider Business Mailing Address
First Line : 365 WARNER MILNE RD
Second Line : SUITE 105
City : OREGON CITY
State : OR
Zip : 97045-4073
Country : US
Telephone Number : 503-557-9266
Fax Number : 503-557-9220
Provider Business Practice Location Address
First Line : 365 WARNER MILNE RD
Second Line : SUITE 105
City : OREGON CITY
State : OR
Zip : 97045-4073
Country : US
Telephone Number : 503-557-9266
Fax Number : 503-557-9220
Authorized Official
Title or Position : CHIROPRACTOR
Name : DR. JENNIFER PITCAIRN
Credential : D.C.
Telephone Number : 503-557-9266
Provider Enumeration Date : 02/05/2007
Last Update Date : 11/06/2007

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Directions to “COMPLETE HEALTH CHIROPRACTIC CENTER, LLC ” Practice Location

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