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BACK IN ACTION CHIROPRACTIC

Active
Other names
Karin L Nosrati
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KARIN LAIMER NOSRATI D.C. (OWNER)
(360) 254-1585
Entity
Organization

Contact information

Practice address
20107 NE 14TH ST, CAMAS, WA 98607-7667
(360) 254-1585
(360) 254-1210
Mailing address
20107 NE 14TH ST, CAMAS, WA 98607-7667
(360) 254-1585
(360) 254-1210

Taxonomy

Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
CH00002905
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0037434
WA DEPARTMENT OF LABOR AND INDUSTRIES
WA
01
CH00002905
WASHINGTON STATE DEPARTMENT OF HEALTH
WA
Enumeration date
10/04/2011
Last updated
10/04/2011
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