Alex Brian Sandrow, D.C.
Individual provider Active NPI Sports Physician Chiropractor · Vancouver, WA
NPI 1861715211 · NPPES record last updated Nov 5, 2015
Key facts
- NPI
- 1861715211
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Sports Physician Chiropractor 111NS0005X
- License
- CH 60189008 (WA)
- Practice address
- 16703 SE McGillivray Blvd
Suite 215
Vancouver, WA 98683-4300 - Phone
- (360) 883-2450
- Fax
- (866) 935-1910
- NPI assigned
- Mar 12, 2010
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3991 | OR | MD | Chiropractor |
| CH 60189008 | WA | MD | Sports Physician Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Absolute Health & Wellness | Past |
Accepting new patients | |
| Absolute Health and Wellness, LLC | Sports Physician | Past | Accepting new patients |
Interoperability endpoints
- asandrow@direct.meditouchehr.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3991 | OR | |
| Sports Physician Chiropractor | 111NS0005X | CH 60189008 | WA | Yes |
Addresses
Primary practice location
16703 SE McGillivray Blvd
Suite 215
Vancouver, WA 98683-4300
Mailing address
16703 SE McGillivray Blvd
Suite 215
Vancouver, WA 98683-4300
Phone (360) 883-2450
Other providers in Vancouver, WA
- Akashdeep Singh Sandhu
- Jasdeep Singh Sandhu
- Sumanpreet Sandhu
- Raquel Jahne Sandoval-Garcia
- Cori Lynn Sandquist
- Sindy J Sands
- Theresa Ellen Sandstrom
- Deborah L Saner
- Tiffany Sanford
- Paurin Sangpatson
All providers in Vancouver, WA · Sports Physician 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 Nov 5, 2015. 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.