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
- City
- Vancouver
- State
- Washington
- 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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