Ocean Beach Chiropractic PS – Chiropractor

Key facts

NPI: 1639396203
Entity type: Organization (NPI type 2)
Primary specialty: Chiropractor 111N00000X
License: CH00034693 (WA)
Legal business name: OCEAN BEACH CHIROPRACTIC PS
Practice address: 167 First Avenue, North
Ilwaco, WA 98624
Phone: (360) 642-2474
Fax: (360) 642-2363
NPI assigned: Apr 18, 2007
Organization subpart: No

Authorized official

Name: Dr. Matthew J Reilly, DC NPI 1437261146
Title: Ceo
Phone: (360) 642-2474

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

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

Matthew J Reilly, D.C. Chiropractor · Ilwaco, WA · NPI 1437261146

NPD (past) Authorized official CHIROPRACTOR

National Provider Directory

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Chiropractor Group: 193400000X SINGLE SPECIALTY GROUP	111N00000X	CH00034693	WA	Yes

Addresses

Primary practice location

167 First Avenue, North
Ilwaco, WA 98624

Mailing address

PO Box 186
167 First Avenue, North
Ilwaco, WA 98624-0924
Phone (360) 642-2474

Other providers in Ilwaco, WA

All providers in Ilwaco, WA · Chiropractor in Washington

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 1, 2007. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.