Individual
DR. CHRISTOPHER BLONK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC, ATC
Contact information
Practice address
221A NE 104TH AVE STE 205, VANCOUVER, WA 98664-4539
(360) 737-9665
Mailing address
221A NE 104TH AVE STE 205, VANCOUVER, WA 98664-4539
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH61482616
WA
2255A2300X
Athletic Trainer
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000028646
BOARD OF CERTIFICATION (BOC)
—
01
—
CH61482616
WASHINGTON DEPARTMENT OF HEALTH
WA
Enumeration date
06/07/2017
Last updated
11/06/2023
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