Individual
NICHOLI HOSSEIN KHAJAVEI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
18500 SE 17TH ST, VANCOUVER, WA 98683-9723
(503) 490-8538
Mailing address
18500 SE 17TH ST, VANCOUVER, WA 98683-9723
(503) 490-8538
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5868
OR
Other
Enumeration date
10/27/2017
Last updated
10/27/2017
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