Washougal Chiropractic Center, Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00001053 Issued in WA

Legal business name

WASHOUGAL CHIROPRACTIC CENTER, INC

Practice address

1901 Main St
Washougal, WA 98671-4116

Phone

(360) 835-3150

Fax

(360) 835-0459

NPI assigned

Mar 7, 2007

Organization subpart

No

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

Authorized official

Name

Dr. William E. Gibbon, D.C.N.D.

Title

Owner

Phone

(360) 835-3150

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Raynel J Hunt, D.C.

  • Chiropractor
  • Washougal, WA
  • NPI 1609973676
  Medicare reassignment NPD

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209340800000",
    "number": "1508997214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 246",
            "city": "WASHOUGAL",
            "state": "WA",
            "postal_code": "986710246",
            "telephone_number": "360-835-3150",
            "fax_number": "360-835-0459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 MAIN ST",
            "city": "WASHOUGAL",
            "state": "WA",
            "postal_code": "986714116",
            "telephone_number": "360-835-3150",
            "fax_number": "360-835-0459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHOUGAL CHIROPRACTIC CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2008-04-28",
        "status": "A",
        "authorized_official_last_name": "GIBBON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-835-3150",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C.N.D."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00001053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Josephine Vogel, MA
• Jennifer Camille Vollstedt, RDH
• Chih Wang
• Washougal Acupuncture and Massage, LLC
• Washougal Assisted Living, LLC
• Washougal Family Medicine, PS
• Washougal School District
• Washougal Sport and Spine, Inc.
• Amanda Weil, LMT
• Rebecca Wilkie, LMT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.