NPIMap

Organization Active NPI

Donna Maria Archer, DC, LLC

Doing business as Archer Family Wellness Clinic

  • Chiropractor
  • Vancouver, WA
National Provider Identifier
1407178080
Registry record updated Feb 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00033998 Issued in WA
Legal business name
DONNA MARIA ARCHER, DC, LLC
Doing business as
Archer Family Wellness Clinic
Practice address
5512 NE 109TH CT
Suite a
Vancouver, WA 98662-6175
Phone
(360) 885-4715
Fax
(360) 859-3741
NPI assigned
Feb 23, 2010
Last updated
Feb 23, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2010

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

Authorized official

Name
Dr. Donna Maria Archer, D.C.NPI 1619925591
Title
Owner
Phone
(360) 885-4715

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH00033998 WA Primary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X MA60133357 WA
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X MA60127460 WA

Addresses

Primary practice location

5512 NE 109TH CT
Suite a
Vancouver, WA 98662-6175

Mailing address

5512 NE 109TH CT.
Suite a
Vancouver, WA 98662-6175
Phone (360) 885-4715

Other names 1

  • Archer Family Wellness Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

5512 NE 109th Ct
Ste A
Vancouver, WA 98662
Phone (360) 885-4715

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1266883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266883200000",
    "number": "1407178080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5512 NE 109TH CT.",
            "address_2": "SUITE A",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626175",
            "telephone_number": "360-885-4715",
            "fax_number": "360-859-3741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5512 NE 109TH CT",
            "address_2": "SUITE A",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626175",
            "telephone_number": "360-885-4715",
            "fax_number": "360-859-3741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONNA MARIA ARCHER, DC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-23",
        "last_updated": "2010-02-23",
        "status": "A",
        "authorized_official_last_name": "ARCHER",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-885-4715",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00033998",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60133357",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60127460",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Archer Family Wellness Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2010; 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.