Jason L Polk
CORE LIFE PLLC


Address: 7604 Ne 5th Ave, Suite 109, Vancouver, WA 98665-8200
Phone: 3603144380

Jason L Polk (NPI# 1821354051, PAC ID# 0143483776) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.

Physician Overview

Nation Provider ID (NPI) 1821354051
PAC ID by PECOS 0143483776
Professional Enrollment ID I20120518000209
Full Name Jason L Polk
Organization Legal Name CORE LIFE PLLC
Address 7604 Ne 5th Ave
Suite 109
Vancouver
WA 98665-8200
Phone Number 3603144380
Gender M
Graduation Year 2011
Primary Specialty CHIROPRACTIC
Group Practice PAC ID 0143366104
Number of Group Practice Members 2
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
7604 Ne 5th Ave, Suite 109, Vancouver, WA 98665-8200 3603144380 CORE LIFE PLLC
7604 Ne 5th Ave, Vancouver, WA 98665-8200 3603144380 CORE LIFE PLLC

Organization Information

Organization Legal Name CORE LIFE PLLC
Physicians 1

Office Location

Street Address 7604 NE 5TH AVE
SUITE 109
City VANCOUVER
State WA
Zip 98665-8200

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Competitor

Search similar physicians

City VANCOUVER
Zip Code 98665
Specialty CHIROPRACTIC
City + Specialty VANCOUVER + CHIROPRACTIC

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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