Organization
RIVERS TRIBE CORP
Active
Other names
Omega Functional Health
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL MCDONALD DC (OWNER)
(720) 667-3650
Entity
Organization
Contact information
Practice address
6650 W 44TH AVE STE 2B, WHEAT RIDGE, CO 80033-4711
(720) 667-3650
Mailing address
PO BOX 501, ARVADA, CO 80001-0501
(720) 667-3650
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHR.0007574
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CHR.0007574
STATE LICENSE NUMBER FOR SAMUEL MCDONALD
CO
01
—
CHR.0007649
LICENSE NUMBER FOR LYNN TRAN
CO
Enumeration date
08/16/2017
Last updated
12/14/2023
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