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MCCLEERY CHIROPRACTIC HEALTH CENTRE PC NPI 1902890098


NPI Information

NPI: 1902890098
Provider Name: MCCLEERY CHIROPRACTIC HEALTH CENTRE PC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
404 NE GREENWOOD AVE
BEND, OR
ZIP 97701
Phone: (541) 389-7103
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MCCLEERY CHIROPRACTIC HEALTH CENTRE PC is a chiropractor in Bend, OR. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. MCCLEERY CHIROPRACTIC HEALTH CENTRE PC NPI is 1902890098. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

404 NE GREENWOOD AVE
BEND, OR
ZIP 97701-608
Phone: (541) 389-7103
Fax: (541) 389-1173

The provider's authorized official is Samantha S Mccleery .
The authorized official title is Clinic Administrator and has the following contact phone number (541) 389-7103.

The enumeration date for this NPI number is 9/6/2005 and was last updated on 11/24/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor27 1294OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1T67893MEDICARE UPINOREGON
2R71757MEDICARE ID-TYPE UNSPECIFIEDOREGONCORPORATE PROVIDER ID
3005054001OTHEROREGONREGENCE BLUE CROSS ID
4OR00157MEDICARE ID-TYPE UNSPECIFIEDOREGONSUBMITTER ID
5R71758MEDICARE ID-TYPE UNSPECIFIEDOREGONPHYSICIAN ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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