# MICHAEL A. DORNBUSCH, DC, PS

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

## Provider details

- **NPI number:** 1437390747
- **Authorized official:** DR. MICHAEL A DORNBUSCH DC (PRESIDENT/CHIROPRACTOR)
- **Authorized official phone:** (360) 772-9981

## Contact information

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

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 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