Individual
AVERY NEIL MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
22790 BUCHANAN STREET, MOUNT VERNON, WA 98273
(360) 856-5562
(360) 856-4923
Mailing address
PO BOX 508, CLEARLAKE, WA 98235-0508
(360) 856-5562
(360) 856-4923
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1315
WA
Other
Enumeration date
12/12/2006
Last updated
08/05/2008
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