| Boardwalk Chiropractic | |
|
1800 Se Columbia River Dr. Vancouver WA 98661 | |
| (360) 953-4211 | |
| Not Available |
| Full Name | Boardwalk Chiropractic |
|---|---|
| Speciality | Clinic/center |
| Location | 1800 Se Columbia River Dr., Vancouver, Washington |
| Authorized Official Name and Position | Carolynn Jean Pavlock (CHIROPRACTOR, OWNER) |
| Authorized Official Contact | 3609534211 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boardwalk Chiropractic 17811 Ne 20th St Vancouver WA 98684-9781 Ph: (360) 953-4211 | Boardwalk Chiropractic 1800 Se Columbia River Dr. Vancouver WA 98661 Ph: (360) 953-4211 |
| NPI Number | 1265842041 |
|---|---|
| Provider Enumeration Date | 05/02/2014 |
| Last Update Date | 05/02/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265842041 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 603284445 (Washington) | Primary |
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