Individual
BRODIE MACKLIN FISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
428 NE 4TH AVE, CAMAS, WA 98607-2128
(360) 834-7300
Mailing address
122 NE DALLAS ST, CAMAS, WA 98607-1642
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CN60880230
WA
Other
Enumeration date
07/24/2018
Last updated
07/24/2018
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