Individual
DR. TAYLOR DENTON LEWIS HAAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
6307 NE 117TH AVE STE C, VANCOUVER, WA 98662-5500
(360) 253-4285
(360) 253-9469
Mailing address
16903 NE 20TH ST, VANCOUVER, WA 98684-6766
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH61062221
WA
111N00000X
Chiropractor
CHR.0008181
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CH61062221
STATE OF WASHINGTON
WA
01
—
CHR.0008181
STATE OF COLORADO
CO
Enumeration date
11/07/2020
Last updated
08/02/2023
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