Organization
CHIRO ONE WELLNESS CENTER OF FISHERS LANDING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY MORAN (CREDENTIALING MANAGER)
(630) 229-4430
Entity
Organization
Contact information
Practice address
605 SE 164TH AVE STE 101, VANCOUVER, WA 98684-9297
(360) 567-1205
Mailing address
2625 BUTTERFIELD RD STE 301N, OAK BROOK, IL 60523-1266
(360) 567-1205
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
03/10/2020
Last updated
03/10/2020
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