Organization
LARRY A BAIN DC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY A BAIN (DC)
(360) 694-1575
Entity
Organization
Contact information
Practice address
7612 NE HAZEL DELL AVE, VANCOUVER, WA 98665-8224
(360) 694-1575
(360) 696-4427
Mailing address
7612 NE HAZEL DELL AVE, VANCOUVER, WA 98665-8224
(360) 694-1575
(360) 696-4427
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00000783
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17047
OREGON L & I
OR
01
—
2041507
WASHINGTON DSHS
WA
01
—
75953
WA L & I
WA
Enumeration date
05/16/2007
Last updated
08/22/2020
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