is a Chiropractor in Port Angeles, Washington. practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for is 1548212624. The last update date is .
's current location address is 430 E Lauridsen Blvd, Port Angeles, Washington. You can contact this provider via phone number 3604577576 and fax number 3604528079. The mailing address for is 430 E Lauridsen Blvd, Port Angeles, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 430 E Lauridsen Blvd, Port Angeles, Washington |
| Phone Number | 3604577576 |
| Fax Number | 3604528079 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1548212624 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 430 E Lauridsen Blvd |
|---|---|
| City | Port Angeles |
| State | Washington (WA) |
| Post Code | 983627978 |
| Phone Number | 3604577576 |
| Fax Number | 3604528079 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | CH00034213 |
|
Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 167048 | WA | LABOR AND INDUSTRIES | |
| 5327HA | WA | REGENCE | |
| 2027910 | WA | -- |
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