Organization
NEUROSPORT CONCUSSION AND SPINE
Active
Other names
NeuroSport Spine and Concussion Center
Organization subpart
No
Provider details
NPI number
Authorized official
ALICE L GRENIER (OFFICE MANAGER)
(360) 326-2121
Entity
Organization
Contact information
Practice address
1499 SE TECH CENTER PL STE 350, VANCOUVER, WA 98683-9575
(360) 326-2121
Mailing address
1499 SE TECH CENTER PL STE 350, VANCOUVER, WA 98683-9575
(360) 326-2121
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
111NS0005X
Sports Physician Chiropractor
—
—
Other
Enumeration date
05/30/2024
Last updated
12/26/2024
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