Individual
DR. MARK J BLESSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
204 E 25TH ST, VANCOUVER, WA 98663-3219
(360) 693-7781
(360) 693-1688
Mailing address
204 E 25TH ST, VANCOUVER, WA 98663-3219
(360) 693-7781
(360) 693-1688
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00003457
WA
111N00000X
Chiropractor
OR27136
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0154880
DEPT. OF LABOR & IND
WA
01
—
350055943
RAILROAD MEDICARE
WA
05
—
8370819
—
WA
Enumeration date
06/15/2005
Last updated
06/25/2020
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