Organization
HEALTHY SPINE CHIROPRACTIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CECELIA MIKLES D.C. (OWNER)
(360) 584-5506
Entity
Organization
Contact information
Practice address
331 NE LECHNER ST, CAMAS, WA 98607-2445
(360) 798-5652
Mailing address
3705 E 14TH ST, VANCOUVER, WA 98661-5424
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH60533863
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1306239884
NPI
—
Enumeration date
11/13/2015
Last updated
11/13/2015
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