Organization
COLVILLE CHIROPRACTIC CLINIC INC PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER L. LAWSON D.C. (OWNER)
(509) 684-4456
Entity
Organization
Contact information
Practice address
165 S OAK ST, COLVILLE, WA 99114-2845
(509) 684-4456
(509) 684-4456
Mailing address
165 S OAK ST, COLVILLE, WA 99114-2845
(509) 684-4456
(509) 684-4456
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00001798
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2004976
—
WA
Enumeration date
02/21/2007
Last updated
08/22/2020
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