Individual
MR. JAMES G CAVIEZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
400 E DIVISION, MOUNT VERNON, WA 98274
(360) 336-6547
(360) 336-1503
Mailing address
400 E DIVISION, MOUNT VERNON, WA 98274-3924
(360) 336-6547
(360) 336-1503
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00000738
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11899
WA STATE L I
WA
05
—
8376923
—
WA
Enumeration date
08/10/2005
Last updated
05/19/2008
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