Individual
BENJAMIN R ATWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
16821 SE MCGILLIVRAY BLVD STE 204, VANCOUVER, WA 98683-0402
(360) 433-9580
Mailing address
15310 NE 45TH ST, VANCOUVER, WA 98682-7146
(971) 207-9869
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH60168348
WA
Other
Enumeration date
04/10/2012
Last updated
04/10/2012
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