Individual
AVERY CHAMPAGNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8825 TALLON LN NE STE D, LACEY, WA 98516-6607
(360) 489-0973
(360) 489-0983
Mailing address
8825 TALLON LN NE STE D, LACEY, WA 98516-6607
(360) 489-0973
(360) 489-0983
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH61068859
WA
Other
Enumeration date
10/13/2020
Last updated
06/02/2023
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