Individual
DR. HALEY SURFACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
2402 BROADWAY ST, VANCOUVER, WA 98663-3229
(360) 241-6630
Mailing address
7512 SW 17TH DR, PORTLAND, OR 97219-2707
(253) 312-9670
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
610253345
WA
Other
Enumeration date
01/09/2020
Last updated
01/09/2020
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