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NPI Code Detail

MEDICARE: BRUCE D. CHASER, D.C., P.C.

MEDICARE: BRUCE D. CHASER, D.C., 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
1261QH0100XHealth Service Clinic/Center27-2031OR

General Provider Information

NPI Number : 1831364017
Entity Type Code : Organization
Provider Name (Legal Business Name) : BRUCE D. CHASER, D.C., P.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 : OWNER
Name : BRUCE CHASER
Credential : D.C.
Telephone Number : 503-235-5484
Provider Enumeration Date : 04/28/2008
Last Update Date : 04/28/2008

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