SEGAL CHIROPRACTIC CORPORATION (NPI# 1619252723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619252723 |
| Entity Type | Organization |
| Organization Name | SEGAL CHIROPRACTIC CORPORATION |
| Other Organization Name | BACK IN SHAPE CHIROPRACTIC |
| Practice Address |
6501 Se King Rd Milwaukie OR 97222-2538 |
| Practice Telephone | 5037883800 |
| Practice Fax Number | 5037888020 |
| Mailing Telephone | 5037883800 |
| Mailing Fax Number | 5037888020 |
| Enumeration Date | 2011-10-20 |
| Last Update Date | 2011-10-20 |
| Authorized Official Name | DR. KEVIN M SEGAL (PRESIDENT) |
| Authorized Official Telephone | 5037883800 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 3287 | OR | Chiropractic Providers |
| Other Name | Type Code |
|---|---|
| Back In Shape Chiropractic | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | SEGAL CHIROPRACTIC CORPORATION | 6501 Se King Road, Milwaukie, OR 97222 |
| Washington State Corporations | SEGAL CHIROPRACTIC CORPORATION | 6501 Se King Rd, Milwaukie, OR 97222-2538 |
| Street Address |
6501 SE KING RD |
| City | MILWAUKIE |
| State | OR |
| Zip Code | 97222-2538 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083798755 | Kevin M. Segal | Chiropractor | 6501 Se King Rd, Milwaukie, OR 97222-2538 | 2006-10-25 |
| 1356682975 | Julia Valentine | Massage Therapist | 6501 Se King Rd, Milwaukie, OR 97222-2538 | 2013-03-06 |
| 1265665764 | Brandy Lynn Gayomali | Mechanotherapist | 6501 Se King Rd, Milwaukie, OR 97222-2538 | 2009-08-31 |
| 1124260666 | Jennifer A Reynolds | Mechanotherapist | 6501 Se King Rd, Milwaukie, OR 97222-2538 | 2009-03-30 |
| 1679711881 | Mcclanen Clemons Corporation | Clinic/Center | 6501 Se King Rd, Milwaukie, OR 97222-2538 | 2009-01-26 |
| 1376781583 | Heather C Durham | Mechanotherapist | 6501 Se King Rd, Milwaukie, OR 97222-2538 | 2009-01-26 |
| 1356522593 | Nadya Kielhorn | Community Health Worker | 6501 Se King Rd, Milwaukie, OR 97222-2538 | 2007-11-15 |
| 1245426196 | Meredith Colleen Mcclanen | Naturopath | 6501 Se King Rd, Milwaukie, OR 97222-2538 | 2007-09-24 |
| 1801923685 | Joyce R Ho | General Practice | 6501 Se King Rd, Milwaukie, OR 97222-2538 | 2007-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831731397 | Madalyn Kelly Yowell | Technician | 7809 Southeast Southgate Street, Milwaukee, OR 97222 | 2019-10-16 |
| 1336617448 | Nadia Yang | Social Worker | 2115 Se Adams St, Milwaukie, OR 97222 | 2018-11-06 |
| 1851892368 | Arrow Dental LLC | Dentist | 10505 Se 17th Avenue, Milwaukie, OR 97222 | 2018-02-21 |
| 1851814016 | Cathy Maria Andrew | Acupuncturist | 11022 Se Stanley Ave, Milwaukie, OR 97222 | 2017-07-19 |
| 1972025369 | Sarah Elizabeth Giles | Peer Specialist | 11097 Se 21st Ave., Milwaukie, OR 97222 | 2017-07-07 |
| 1366976292 | Brittany Reubendale | Physical Therapist | 12705 See River Rd, Portland, OR 97222 | 2017-04-18 |
| 1669916383 | Margie Hertz | Registered Nurse | 6406 Se Cedarcrest Drive, Milwaukie, OR 97222 | 2016-12-14 |
| 1952858094 | Alexis Escobar | Speech-Language Pathologist | 4560 Se International Way, Ste 100, Milwaukie, OR 97222 | 2016-09-07 |
| 1205295466 | Beth Ann Mills | Acupuncturist | 2025 Se Jefferson St Ste 106, Milwaukie, OR 97222 | 2016-02-16 |
| 1558744086 | Kyle Eugene Coan | Specialist | 3306 Se Wister St, Milwaukie, OR 97222 | 2015-07-01 |
| Find all providers in zip 97222 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669974663 | Adam D Isfeld | Chiropractor | 4370 Se King Rd # Set220, Milwaukie, OR 97222-1607 | 2018-03-06 |
| 1760861041 | Tatyana Velichko | Chiropractor | 11776 Se Fuller Rd, Milwaukie, OR 97222-1414 | 2015-05-20 |
| 1740618909 | Crystal Colleen Cook | Chiropractor | 3716 Southeast International Way, Milwaukie, OR 97222 | 2013-10-28 |
| 1306079025 | Angela Dmitriyevna Ozeruga | Chiropractor | 14641 Se Thornapple Ln, Milwaukie, OR 97267-1980 | 2009-08-27 |
| 1386788875 | David Mealey | Chiropractor | 11266 Se 21st Ave, Milwaukie, OR 97222-7776 | 2007-02-16 |
| 1912051277 | Rudolph Heuchert | Chiropractor | 11107 Se Stanley Ave, Milwaukie, OR 97222-4454 | 2007-01-23 |
| 1669522041 | Edward Allan Hacmac | Chiropractor | 13033 Se Rusk Rd, Milwaukie, OR 97222-2107 | 2007-01-10 |
| 1336206317 | Steven Gardner | Chiropractor | 14000 Se Johnson Rd Ste 110, Milwaukie, OR 97267-2316 | 2007-01-02 |
| 1265502702 | Randall L Fish | Chiropractor | 2025 Se Jefferson St, Milwaukie, OR 97222 | 2006-11-09 |
| 1083798755 | Kevin M. Segal | Chiropractor | 6501 Se King Rd, Milwaukie, OR 97222-2538 | 2006-10-25 |
| Find all providers in MILWAUKIE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.