Organization
OCEAN BEACH CHIROPRACTIC PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW J REILLY DC (CEO)
(360) 642-2474
Entity
Organization
Contact information
Practice address
167 FIRST AVENUE, NORTH, ILWACO, WA 98624
(360) 642-2474
(360) 642-2363
Mailing address
PO BOX 186, 167 FIRST AVENUE, NORTH, ILWACO, WA 98624-0924
(360) 642-2474
(360) 642-2363
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00034693
WA
Other
Enumeration date
04/18/2007
Last updated
08/01/2007
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