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Organization

MICHAEL A. DORNBUSCH, DC, PS

Active
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Organization

MICHAEL A. DORNBUSCH, DC, PS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL A DORNBUSCH DC (PRESIDENT/CHIROPRACTOR)
(360) 772-9981
Entity
Organization

Contact information

Practice address
3307 EVERGREEN WAY, SUITE 601, WASHOUGAL, WA 98671-2062
(360) 835-9911
Mailing address
3307 EVERGREEN WAY STE 603, WASHOUGAL, WA 98671-2062
(360) 835-7601
(360) 210-5646

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
NULL
111N00000X
Chiropractor
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
225700000X
Massage Therapist
—
NULL
225700000X
Massage Therapist
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—

Other

Enumeration date
03/16/2009
Last updated
04/24/2025
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