Organization Active NPI

Featherstone Chiropractic Clinic, PLLC

  • Chiropractor
  • Vancouver, WA
National Provider Identifier
1790991735
Registry record updated Nov 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2289 Issued in WA
Legal business name
FEATHERSTONE CHIROPRACTIC CLINIC, PLLC
Practice address
12116 SE Mill Plain Blvd
#2
Vancouver, WA 98684-6000
Phone
(360) 256-5253
Fax
(360) 256-5081
NPI assigned
May 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2009

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

Authorized official

Name
Paul Carl Featherstone, D.C.
Title
President
Phone
(360) 256-5253

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2289 WA Primary

Addresses

Primary practice location

12116 SE Mill Plain Blvd
#2
Vancouver, WA 98684-6000

Mailing address

12116 SE Mill Plain Blvd
#2
Vancouver, WA 98684-6000
Phone (360) 256-5253

National Provider Directory

National Provider Directory

Locations

12116 SE Mill Plain Blvd
Ste 2
Vancouver, WA 98684
Phone (360) 256-5253

Practitioners & affiliated clinicians

Practitioners 3

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": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259107200000",
    "number": "1790991735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12116 SE MILL PLAIN BLVD",
            "address_2": "#2",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986846000",
            "telephone_number": "360-256-5253",
            "fax_number": "360-256-5081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12116 SE MILL PLAIN BLVD",
            "address_2": "#2",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986846000",
            "telephone_number": "360-256-5253",
            "fax_number": "360-256-5081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FEATHERSTONE CHIROPRACTIC CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2009-11-25",
        "status": "A",
        "authorized_official_last_name": "FEATHERSTONE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "CARL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-256-5253",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "2289",
            "primary": true
        }
    ],
    "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 Nov 25, 2009; 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.