Organization
ALLEN CHIROPRACTIC LLC
Active
Other names
Allen Chiropractic Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT WAYNE ALLEN D.C.,CCSP,CKTI (OWNER/DOCTOR)
(360) 892-2226
Entity
Organization
Contact information
Practice address
811 NE 112TH AVE STE 101, VANCOUVER, WA 98684-4944
(360) 892-2226
(360) 892-1204
Mailing address
811 NE 112TH AVE STE 101, VANCOUVER, WA 98684-4944
(360) 892-2226
(360) 892-1204
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00001732
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
350007584
RAILROAD MEDICARE
—
01
—
AB10115
GROUP MEDICARE
—
Enumeration date
05/12/2006
Last updated
01/02/2013
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