Individual
DR. LORIANN MCKELLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
12416 NW 36TH AVE, VANCOUVER, WA 98685-2225
(360) 574-9440
(360) 574-9288
Mailing address
12416 NW 36TH AVE, VANCOUVER, WA 98685-2225
(360) 574-9440
(360) 574-9288
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00034673
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0225697
L&I PAN
WA
01
—
703832
ACN PROVIDER ID
WA
01
—
885839001
REGENCE BC/BS OR
WA
01
—
8863691
MEDICARE GROUP PIN
WA
01
—
9478466
MULTIPLAN (PHCS) ID
WA
Enumeration date
10/14/2006
Last updated
01/04/2024
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