Individual
MR. LARRY LEE WASILENKOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
705 SE PARK CREST AVE STE A120, VANCOUVER, WA 98683-1303
(360) 892-3654
(360) 892-3692
Mailing address
705 SE PARK CREST AVE STE A120, VANCOUVER, WA 98683-1303
(360) 892-3654
(360) 892-3692
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00003418
WA
Other
Enumeration date
11/13/2006
Last updated
07/08/2007
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