Individual
MR. HARLEY ORVILLE YOUNGBLOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DCRN
Contact information
Practice address
11815 NE HIGHWAY 99, STE. A, VANCOUVER, WA 98686-4008
(360) 696-4405
(360) 696-0582
Mailing address
11815 NE HIGHWAY 99, STE. A, VANCOUVER, WA 98686-4008
(360) 696-4405
(360) 696-0582
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00003002
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
46659
L & I
WA
Enumeration date
08/26/2005
Last updated
09/14/2012
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