Individual
SHAUN MIKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
11815 NE HIGHWAY 99, VANCOUVER, WA 98686-4008
(360) 696-4405
Mailing address
11815 NE HIGHWAY 99, VANCOUVER, WA 98686-4008
(360) 696-4405
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5554
OR
Other
Enumeration date
08/30/2017
Last updated
07/21/2022
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