Individual
DR. RYAN BAXTER MACEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2100 SE 164TH AVE, SUITE C102, VANCOUVER, WA 98683-8934
(360) 258-0264
(360) 254-0930
Mailing address
2100 SE 164TH AVE, SUITE C-102, VANCOUVER, WA 98683
(360) 258-0264
(360) 254-0930
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH60109615
WA
Other
Enumeration date
10/12/2009
Last updated
01/20/2015
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