# CAMACHO CHIROPRACTIC AND SPORTS MEDICINE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013488360
- **Authorized official:** ANGELA MARIE CAMACHO (OFFICE MANAGER)
- **Authorized official phone:** (509) 402-9020

## Contact information

- **Practice address:** 403 N EUCLID ST, GRANDVIEW, WA 98930-9407
- **Practice address phone:** (509) 402-9020
- **Practice address fax:** (509) 402-9036
- **Mailing address:** 403 N EUCLID ST, GRANDVIEW, WA 98930-9407
- **Mailing address phone:** (509) 402-9020
- **Mailing address fax:** (509) 402-9036

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 111NI0013X | Independent Medical Examiner Chiropractor | — | NULL | — |
| 111NI0013X | Independent Medical Examiner Chiropractor | — | — | — |
| 225700000X | Massage Therapist | — | NULL | — |
| 225700000X | Massage Therapist | — | — | — |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/16/2018
- **Last updated:** 07/16/2025