Individual
DR. ALEX VINCENT PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC, ATC
Contact information
Practice address
3523 SE 176TH AVE, VANCOUVER, WA 98683-3591
(360) 690-6479
Mailing address
3523 SE 176TH AVE, VANCOUVER, WA 98683-3591
(360) 690-6479
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
61483660
WA
2255A2300X
Athletic Trainer
61483558
WA
Other
Enumeration date
09/17/2020
Last updated
03/13/2024
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