Organization
BEACON CHIROPRACTIC CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID ISAAC JOHNSON D.C. (CEO, CHIROPRACTOR)
(360) 326-3396
Entity
Organization
Contact information
Practice address
11500 NE 119TH ST STE 104, VANCOUVER, WA 98662-1643
(360) 326-3396
(360) 369-0015
Mailing address
11500 NE 119TH ST STE 104, VANCOUVER, WA 98662-1643
(360) 326-3396
(360) 369-0015
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
225700000X
Massage Therapist
—
—
Other
Enumeration date
02/05/2014
Last updated
08/17/2023
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