Provider Demographics
NPI:1336313162
Name:MCHALE CHIROPRACTIC P.C.
Entity Type:Organization
Organization Name:MCHALE CHIROPRACTIC P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:DENIS
Authorized Official - Last Name:MCHALE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:503-659-5029
Mailing Address - Street 1:707 7TH STREET
Mailing Address - Street 2:
Mailing Address - City:OREGON CITY
Mailing Address - State:OR
Mailing Address - Zip Code:97045
Mailing Address - Country:US
Mailing Address - Phone:503-659-5029
Mailing Address - Fax:503-652-1886
Practice Address - Street 1:707 7TH ST
Practice Address - Street 2:
Practice Address - City:OREGON CITY
Practice Address - State:OR
Practice Address - Zip Code:97045-2346
Practice Address - Country:US
Practice Address - Phone:503-659-5029
Practice Address - Fax:503-652-1886
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-14
Last Update Date:2008-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR27 2916261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ORR0000QGHFGMedicare PIN
ORU58244Medicare UPIN