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Organization

FAMILY CHIROPRACTIC CLINIC, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT WELBORN D.C. (PRESIDENT)
(509) 486-2991
Entity
Organization

Contact information

Practice address
616 1/2 WHITCOMB AVE, TONASKET, WA 98855
(509) 486-2991
(509) 486-2992
Mailing address
PO BOX 631, 616 1/2 WHITCOMB AVE, TONASKET, WA 98855-0631
(509) 486-2991
(509) 486-2992

Taxonomy

Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
CH00001860
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
117078
DEPARTMENT OF LABOR AND INDUSTRIES
WA
05
2021079
WA
Enumeration date
12/17/2010
Last updated
12/17/2010
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