Organization Active NPI

Quick Recovery Clinic, Inc

  • Nutrition Chiropractor
  • Vancouver, WA
National Provider Identifier
1700069135
Registry record updated Dec 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
CH00034005 Issued in WA
Legal business name
QUICK RECOVERY CLINIC, INC
Practice address
3303 NE Minnehaha St
Suite C
Vancouver, WA 98663-1499
Phone
(360) 750-0250
Fax
(360) 750-0253
NPI assigned
Dec 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2008

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

Authorized official

Name
Dr. Michele Marie Newcomer, DC
Title
Owner
Phone
(360) 750-0250

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111NN1001X CH00034005 WA Primary
Nutrition ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111NN1001X 273264 OR

Addresses

Primary practice location

3303 NE Minnehaha St
Suite C
Vancouver, WA 98663-1499

Mailing address

PO Box 65055
Vancouver, WA 98665-0002
Phone (360) 750-0250

National Provider Directory

National Provider Directory

Locations

3303 NE Minnehaha St
Ste C
Vancouver, WA 98663
Phone (360) 750-0250

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1196985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228089600000",
    "number": "1700069135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 65055",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986650002",
            "telephone_number": "360-750-0250",
            "fax_number": "360-750-0253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3303 NE MINNEHAHA ST",
            "address_2": "SUITE C",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986631499",
            "telephone_number": "360-750-0250",
            "fax_number": "360-750-0253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUICK RECOVERY CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-07",
        "last_updated": "2008-12-01",
        "status": "A",
        "authorized_official_last_name": "NEWCOMER",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-750-0250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": "WA",
            "license": "CH00034005",
            "primary": true
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": "OR",
            "license": "273264",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 1, 2008; 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.