Active NPI
Olympic Chiropractic Clinic Inc
- Orthopedic Chiropractor
- Port Angeles, WA
National Provider Identifier
1861679425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Chiropractor
- License
- CH00002641
- Legal business name
- OLYMPIC CHIROPRACTIC CLINIC INC
- Practice address
- 719 S Laurel St
Port Angeles, WA 98362-6020 - Phone
- (360) 457-8292
- Fax
- (360) 457-8274
- NPI assigned
- Jan 25, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Paul Leslie Kendrick, DC
- Title
- Owner
- Phone
- (360) 457-8292
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Chiropractor | 111NX0800X | CH00002641 | WA | Primary |
Addresses
Primary practice location
719 S Laurel St
Port Angeles, WA 98362-6020
Mailing address
719 S Laurel St
Port Angeles, WA 98362-6020
Phone (360) 457-8292
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Port Angeles, WA
- NPI 1306913967
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201219200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208390400000",
"number": "1861679425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "719 S LAUREL ST",
"city": "PORT ANGELES",
"state": "WA",
"postal_code": "983626020",
"telephone_number": "360-457-8292",
"fax_number": "360-457-8274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "719 S LAUREL ST",
"city": "PORT ANGELES",
"state": "WA",
"postal_code": "983626020",
"telephone_number": "360-457-8292",
"fax_number": "360-457-8274"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OLYMPIC CHIROPRACTIC CLINIC INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-25",
"last_updated": "2008-04-17",
"status": "A",
"authorized_official_last_name": "KENDRICK",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "LESLIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "360-457-8292",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111NX0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor, Orthopedic",
"state": "WA",
"license": "CH00002641",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Angeles, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.