| Columbia Chiropractic & Massage | |
|
428 Ne 4th Ave Camas WA 98607-2128 | |
| (360) 834-7300 | |
| (360) 210-4345 |
| Full Name | Columbia Chiropractic & Massage |
|---|---|
| Speciality | Clinic/Center |
| Location | 428 Ne 4th Ave, Camas, Washington |
| Authorized Official Name and Position | Amy Elizabeth Reynolds (OWNER) |
| Authorized Official Contact | 3608347300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Columbia Chiropractic & Massage 428 Ne 4th Ave Camas WA 98607-2128 Ph: (360) 834-7300 | Columbia Chiropractic & Massage 428 Ne 4th Ave Camas WA 98607-2128 Ph: (360) 834-7300 |
| NPI Number | 1366003022 |
|---|---|
| Provider Enumeration Date | 06/24/2019 |
| Last Update Date | 09/28/2021 |
| Certification Date | 09/28/2021 |
| Medicare PECOS PAC ID | 1456789676 |
|---|---|
| Medicare Enrollment ID | O20200320002113 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366003022 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
| Provider Name | Amy E Reynolds |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1679758064 PECOS PAC ID: 5698956480 Enrollment ID: I20200609002286 |
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