Provider Demographics
NPI:1134843444
Name:ACCIDENT CARE CHIROPRACTIC AND MASSAGE OF BEND
Entity type:Organization
Organization Name:ACCIDENT CARE CHIROPRACTIC AND MASSAGE OF BEND
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JORDAN
Authorized Official - Middle Name:
Authorized Official - Last Name:PANGERL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:541-668-6320
Mailing Address - Street 1:2660 NE HIGHWAY 20 STE 630
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97701-6403
Mailing Address - Country:US
Mailing Address - Phone:541-668-6320
Mailing Address - Fax:541-668-6332
Practice Address - Street 1:2660 NE HIGHWAY 20 STE 630
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97701-6403
Practice Address - Country:US
Practice Address - Phone:541-668-6320
Practice Address - Fax:541-668-6332
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-29
Last Update Date:2022-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty