Individual
MR. CLINTON W VANFLEET JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1060 HUDSON, LONGVIEW, WA 98632
(360) 423-2037
(360) 423-9320
Mailing address
1060 HUDSON, LONGVIEW, WA 98632
(360) 423-2037
(360) 423-9320
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00002253
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004892
L & I
—
01
—
2007250
DSHS
—
Enumeration date
11/06/2006
Last updated
07/08/2007
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