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Organization

FISHERS LANDING CHIROPRACTIC CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT E BRASWELL DC (OWNER)
(360) 253-9482
Entity
Organization

Contact information

Practice address
916 SE 164TH AVE STE 200, VANCOUVER, WA 98683-9602
(360) 253-9482
(360) 253-5366
Mailing address
PO BOX 873546, VANCOUVER, WA 98687-3546
(360) 253-9482
(360) 253-5366

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00002801
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0133632
LABOR & INDUSTRIES
WA
Enumeration date
04/09/2008
Last updated
08/22/2017
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