CHIRO ONE WELLNESS CENTER OF DOWNTOWN VANCOUVER, PLLC (NPI# 1194350041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194350041 |
| Entity Type | Organization |
| Organization Name | CHIRO ONE WELLNESS CENTER OF DOWNTOWN VANCOUVER, PLLC |
| Practice Address |
1001 Broadway St Unit 200 Vancouver WA 98660-3296 |
| Mailing Address |
2625 Butterfield Rd Ste 301n Oak Brook IL 60523-1266 |
| Practice Telephone | 3608281574 |
| Mailing Telephone | 6302294430 |
| Enumeration Date | 2020-03-10 |
| Last Update Date | 2020-03-10 |
| Authorized Official Name | AMY MORAN (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 6302204430 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | CHIRO ONE WELLNESS CENTER OF DOWNTOWN VANCOUVER, PLLC | 1001 Broadway St, #200, Vancouver, WA 98660 |
| Street Address |
1001 BROADWAY ST UNIT 200 |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98660-3296 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326566829 | Jennifer Lynn James | Massage Therapist | 1001 Broadway St Unit 200, Vancouver, WA 98660-3296 | 2017-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538779137 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 781 W Columbia Way, Vancouver, WA 98660 | 2020-08-07 |
| 1538641527 | Melissa Molly Sivaram | Counselor | 1012 Esther St, Vancouver, WA 98660 | 2018-09-05 |
| 1679082598 | Christopher Lewis Schwab | Peer Specialist | 5197 Nw Lower River Rd, Vancouver, WA 98660 | 2017-09-22 |
| 1023560141 | Disabled Veterans Hawaii LLC | Durable Medical Equipment & Medical Supplies | 4817 Nw Fruit Valley Road, Suite 100, Vancouver, WA 98660 | 2016-10-25 |
| 1023493004 | Laura Nicole Wood | Counselor | 1104 Main St Ste M100, Vancouver, WA 98660 | 2015-07-20 |
| 1790034627 | Clark County Juvenile Court | Marriage & Family Therapist | 500 W 11th Street, Vancouver, WA 98660 | 2012-09-06 |
| 1538439104 | Hutton Chiropractic Clinic Inc | Chiropractor | 703 Broadway Street, Ste 650, Vancouver, WA 98660 | 2012-01-12 |
| 1134422629 | Brenda Marie Bible | Social Worker | 101 E 8th St Ste 110, Vancouver, WA 98660 | 2010-12-06 |
| 1871895409 | Donna L Benedicktus | Contractor | 210 E Evergreen Blvd, Vancouver, WA 98660 | 2010-12-02 |
| 1992007801 | Peter Ray Hasemeier | Massage Therapist | 805 Broadway St., Vancouver, WA 98660 | 2010-11-29 |
| Find all providers in zip 98660 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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 interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528675527 | Joseph Gonzalez | Chiropractor | 1218 Ne 88th St Ste 108, Vancouver, WA 98665-9696 | 2020-09-24 |
| 1992328637 | Michael Cam Hung Cheung | Chiropractor | 305 Se Chkalov Dr Ste 160, Vancouver, WA 98683-5291 | 2020-05-27 |
| 1013554856 | Mobile Chiropractic North West, Inc. | Chiropractor | 9403 Ne 116th Ave, Vancouver, WA 98662-2338 | 2019-11-27 |
| 1306489356 | Carina Staab | Chiropractor | 5419 Ne 52nd St, Vancouver, WA 98661-7838 | 2019-10-22 |
| 1962053512 | Theodore Pagel | Chiropractor | 1307 Ne 78th St Ste B-13, Vancouver, WA 98665-9672 | 2019-09-25 |
| 1942866769 | Raemaris Glenn | Chiropractor | 5101 Ne 48th St, Vancouver, WA 98661-2844 | 2019-05-16 |
| 1467919431 | Sherry Wang Leavitt | Chiropractor | 11015 Ne Fourth Plain Blvd Ste B, Vancouver, WA 98662-6314 | 2019-02-26 |
| 1639636822 | Hansen Chiropractic | Chiropractor | 7620 Ne 119th Pl Ste 100, Vancouver, WA 98682-4170 | 2019-02-25 |
| 1487151650 | Scott Edward Gross | Chiropractor | 9807 Ne 75th Cir, Vancouver, WA 98662-4643 | 2018-04-12 |
| 1477055366 | Jordan A Smith | Chiropractor | 7604 Ne 5th Ave Ste 109, Vancouver, WA 98665-8200 | 2018-03-06 |
| Find all providers in VANCOUVER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.