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Organization

ELLIOTT CHIROPRACTIC CLINIC, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SCOTT R ELLIOTT D.C. (PRESIDENT)
(360) 966-2700
Entity
Organization

Contact information

Practice address
111 E.MAIN STREET, EVERSON, WA 98247
(360) 966-2700
(360) 966-2701
Mailing address
PO BOX 520, EVERSON, WA 98247-0520
(360) 966-2700
(360) 966-2701

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH 00002047
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2002442
WA
Enumeration date
06/14/2010
Last updated
06/14/2010
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