Mary Ann Tack (NPI# 1346347929, PAC ID# 4880652817) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
Nation Provider ID (NPI) | 1346347929 |
PAC ID by PECOS | 4880652817 |
Professional Enrollment ID | I20041222000427 |
Full Name | Mary Ann Tack |
Address |
901 Brutscher St Suite 210 Newberg OR 97132-6094 |
Gender | F |
Credential | DC |
Medical School | WESTERN STATES COLLEGE OF CHIROPRACTIC |
Graduation Year | 1993 |
Primary Specialty | CHIROPRACTIC |
Accepts Medicare Assignment | M |
Address | Phone | Organization |
---|---|---|
901 Brutscher St, Suite 210, Newberg, OR 97132-6094 |
Street Address |
901 BRUTSCHER ST SUITE 210 |
City | NEWBERG |
State | OR |
Zip | 97132-6094 |
Name | Specialty | Organization | Address |
---|---|---|---|
Patricia A Warford | Clinical Psychologist | Patricia Warford Psyd, LLC | 901 Brutscher St, Suite 214, Newberg, OR 97132-6094 |
Name | Specialty | Organization | Address |
---|---|---|---|
Sheila M Smith | Nurse Practitioner | 1819 Haworth Ave, Newberg, OR 97132-1211 | |
Jeremy W Taylor | Optometry | Newberg Vision Clinic, P.C. | 2207 Portland Rd, A, Newberg, OR 97132-1371 |
Paula A Taylor | Optometry | Newberg Vision Clinic, P.C. | 2207 Portland Rd, A, Newberg, OR 97132-1371 |
Zoey Eleni Stoumbos | Ophthalmology | Oregon Eye Specialists, PC | 2318 Portland Rd, Suite 300, Newberg, OR 97132-1374 |
May Khadem | Ophthalmology | Oregon Eye Specialists, PC | 2318 Portland Rd, Suite 300, Newberg, OR 97132-1374 |
Anna Marie Q Macasa | Rheumatology | 402 Villa Rd, Newberg, OR 97132-1831 | |
Randy L Sasich | Pulmonary Disease | Providence Health and Services - Oregon | 501 Villa Rd, Newberg, OR 97132-1832 |
Robert J Weniger | Psychologist, Clinical | 515 N Villa Rd, Newberg, OR 97132-1832 | |
John Alan Butler | Pulmonary Disease | Providence Health and Services - Oregon | 501 Villa Rd, Newberg, OR 97132-1832 |
Jo Carolyn Hernandez | Pathology | Providence Health and Services - Oregon | 501 Villa Rd, Newberg, OR 97132-1832 |
Find all physicians in zip 97132 |
City | NEWBERG |
Zip Code | 97132 |
Specialty | CHIROPRACTIC |
City + Specialty | NEWBERG + CHIROPRACTIC |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.