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SCSM INC NPI 1740535681


NPI Information

NPI: 1740535681
Provider Name: SCSM, INC

Doing Business As: EASTSIDE SPINE & INJURY

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
4370 SE KING RD STE 220
MILWAUKIE, OR
ZIP 97222
Phone: (503) 654-7400
Get Directions

SCSM, INC is a chiropractor in Milwaukie, 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. SCSM, INC NPI is 1740535681. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Eastside Spine & Injury.

The provider's business location address is:

4370 SE KING RD STE 220
MILWAUKIE, OR
ZIP 97222-613
Phone: (503) 654-7400
Fax: (503) 654-1003

The provider's authorized official is Brian Blake Sims .
The authorized official title is President and has the following contact phone number (503) 654-7400.

The enumeration date for this NPI number is 7/17/2012 and was last updated on 12/16/2019.


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
1111N00000XChiropractor3930OREGONYes

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
1500681331MEDICAIDOREGON

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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