Individual
KIM D CHRISTENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
12503 SE MILL PLAIN BLVD, SUITE 215A, VANCOUVER, WA 98684-4009
(360) 448-6353
(240) 371-7188
Mailing address
12503 SE MILL PLAIN BLVD, SUITE 215A, VANCOUVER, WA 98684-4009
(360) 448-6353
(240) 371-7188
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00001479
WA
111NR0400X
Rehabilitation Chiropractor
CH00001479
WA
111NS0005X
Sports Physician Chiropractor
CH00001479
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022898
—
OR
01
—
253358
L&I
WA
05
—
8378838
—
WA
01
—
8931612
CRIME VICTIMS
WA
01
—
P00231843
RR MEDICARE
—
Enumeration date
08/23/2005
Last updated
02/24/2016
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