Organization
ELLIOTT CHIROPRACTIC CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT R. ELLIOTT D.C. (CHIROPRACTOR)
(360) 966-2700
Entity
Organization
Contact information
Practice address
111 E MAIN ST, EVERSON, WA 98247-8250
(360) 966-2700
(360) 966-2701
Mailing address
PO BOX 520, EVERSON, WA 98247-0520
(360) 966-2700
(360) 966-2701
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
CH00002047
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0195
DEPT OF LABOR & INDUSTRIES
WA
05
—
2002442
—
WA
Enumeration date
08/11/2008
Last updated
08/11/2008
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