# PRO ACTIVE CHIROPRACTIC CLINIC PS

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

## Provider details

- **NPI number:** 1932397437
- **Authorized official:** DR. GEORGE N LAWRENCE D.C. (OWNER)
- **Authorized official phone:** (360) 417-1600

## Contact information

- **Practice address:** 934 CAROLINE ST, PORT ANGELES, WA 98362-3910
- **Practice address phone:** (360) 417-1600
- **Practice address fax:** (360) 452-4411
- **Mailing address:** 934 CAROLINE ST, PORT ANGELES, WA 98362-3910
- **Mailing address phone:** (360) 417-1600
- **Mailing address fax:** (360) 452-4411

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NN0400X | Neurology Chiropractor | 2680 | WA | Yes |

## Other

- **Enumeration date:** 10/09/2007
- **Last updated:** 06/24/2008