Cascade Park Sports Medicine & Rehab Clinic Pllc

NPI #1679641393 in Vancouver, Washington

Provider Information

NPI Number
1679641393
Entity Type
Organization
Organization Name
Cascade Park Sports Medicine & Rehab Clinic Pllc
Primary Specialty
Chiropractor
Enumeration Date
Dec 1, 2006
Last Updated
Sep 13, 2007

Practice Location

Address
12214 SE MILL PLAIN BLVD
Address 2
STE 101
ZIP Code
98684-6019
Phone
(360) 254-4040

Authorized Official

Name
LUCAS Q HOMER, DC
Title
OWNER
Phone
(360) 254-4040

Specialties & Taxonomy Codes

Specialty
Chiropractor

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