Organization
FAMILY CHIROPRACTIC CLINIC, INC.
Active
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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