Individual
THEODORE PAGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1307 NE 78TH ST STE B-13, VANCOUVER, WA 98665-9672
(360) 574-5136
Mailing address
1307 NE 78TH ST STE B-13, VANCOUVER, WA 98665-9672
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH60970468
WA
Other
Enumeration date
09/25/2019
Last updated
09/25/2019
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