Individual
DR. SAMANTHA DEE CLEVENGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
2806 29TH AVE SW STE A, TUMWATER, WA 98512-6155
(360) 589-9733
Mailing address
7711 ATCHINSON LN SE, OLYMPIA, WA 98513-5316
(360) 589-9733
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
CH60924395
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CH60924395
CHIROPRACTIC LICENSE
WA
Enumeration date
11/30/2009
Last updated
02/24/2025
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