Mary Ann Tack, Dc
LBN: Lifestreams Chiropractic Center, Llc
Mary Ann Tack, Dc is an health care organization with primary practice located at 901 Brutscher St Ste 210 , Newberg OR 97132-6094. The organization recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Ambulatory Health Care Facilities / Clinic/Center. Chiropractic Providers / Chiropractor is the primary health care specialty.
Lifestreams Chiropractic Center, Llc can be contacted via phone (503) 537-2052, or through Tack, Mary Ann via phone (503) 537-2052.
Contact Information
Primary practice address
901 Brutscher St Ste 210
Newberg OR 97132-6094
Phone: (503) 537-2052
Fax: (503) 538-8315
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | ||
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | 2863 | Oregon |
Profile Details
| NPI number | 1942588785 |
|---|---|
| LBN Legal business name | Lifestreams Chiropractic Center, Llc |
| DBA Doing business as | Mary Ann Tack, Dc |
| Authorized official | Tack, Mary Ann Doctor of Chiropractic (DC) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 27th, 2011 |
| Last updated | Jun 19th, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942588785 | NPPES |
| Oregon | Other | 0000QGHFP | MEDICARE ID TYPE UNSPECIFIED |
| Oregon | MEDICAID | 274833 | MEDICARE ID TYPE UNSPECIFIED |
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