Organization
FAMILY CHIROPRACTIC AT SALMON CREEK INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HARLEY O. YOUNGBLOOD III R.N. ,D.C.,F.I.C.P.A (PRESIDENT)
(360) 696-4405
Entity
Organization
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
—
0046659
LABOR & INDUSTRIES
WA
Enumeration date
06/26/2007
Last updated
10/18/2007
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