Individual
DR. ROBERT E, BRASWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
916 SE 164TH AVE STE 200, VANCOUVER, WA 98683-9602
(360) 253-9482
Mailing address
PO BOX 873546, VANCOUVER, WA 98687-3546
(360) 253-9482
(360) 253-5366
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00002801
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0133632
L&I
WA
01
—
602-009-365
UBI
WA
01
—
912012316
TAX ID
WA
Enumeration date
07/18/2006
Last updated
07/21/2022
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