Individual
CARY ANN WEDDLE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
1329 BROADWAY ST, STE 200, LONGVIEW, WA 98632-3747
(360) 957-4929
(360) 578-2930
Mailing address
PO BOX 97, RAINIER, OR 97048-0097
(360) 957-4929
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
273037
OR
111N00000X
Chiropractor
Primary
CH00034320
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0052630
WORKERS COMPENSATION
WA
05
—
2029775
—
WA
Enumeration date
05/20/2006
Last updated
07/09/2007
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