Organization
ONSITE DOCTORS, LLC
Active
Other names
Boardwalk Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYNN JEAN PAVLOCK DC (CHIROPRACTOR, OWNER)
(360) 953-4211
Entity
Organization
Contact information
Practice address
1800 SE COLUMBIA RIVER DR., VANCOUVER, WA 98661
(360) 953-4211
Mailing address
17811 NE 20TH ST, VANCOUVER, WA 98684-9781
(360) 953-4211
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
603284445
WA
Other
Enumeration date
05/02/2014
Last updated
05/02/2014
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