Advanced Chiropractic Centre Corp
NPI #1710032057 in Vancouver, Washington
Provider Information
- NPI Number
- 1710032057
- Entity Type
- Organization
- Organization Name
- Advanced Chiropractic Centre Corp
- Primary Specialty
- Chiropractor - Sports Physician
- Enumeration Date
- Jan 25, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 705 SE PARK CREST AVE., STE A120
- City
- Vancouver
- State
- Washington
- ZIP Code
- 98683-1303
- Phone
- (360) 892-3654
Authorized Official
- Name
- LARRY LEE WASILENKOFF, D.C
- Title
- OWNER
- Phone
- (360) 892-3654
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor - Sports Physician — Sports Physician |
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