Carolynn Jean Pavlock, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00034560 Issued in WA

Practice address

17811 NE 20TH St
Vancouver, WA 98684-9781

Phone

(360) 989-6784

NPI assigned

Aug 24, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Dr. Carolynn Jean Pavlock Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Priority Life Chiropractic & Massage LLC

  • Chiropractor
  • Vancouver, WA
  • NPI 1134344880
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359072000000",
    "number": "1376650416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17811 NE 20TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986849781",
            "telephone_number": "360-989-6784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17811 NE 20TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986849781",
            "telephone_number": "360-989-6784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVLOCK",
        "first_name": "CAROLYNN",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-24",
        "last_updated": "2013-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLYNN",
            "last_name": "PAVLOCK",
            "middle_name": "JEAN",
            "prefix": "DR.",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Chantelle Paulson, ARNP
• Diane Louise Paulson
• Victoria Dawn Paulus, ARNP
• Nelya Yuriyevna Pavlenko, MD
• Olya Pavlishina, LMFT
• Pavones Holdings, LLC
• Pax Family Counseling
• Payette Clinics, PC (Payette Clinic Medical & Mental Health Care)
• Courtney Elizabeth Payne, MS, RD
• Deborah Payne, LMP

• Chiropractor in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.