NPIMap

Organization Active NPI

Absolute Health and Wellness, LLC

  • Sports Physician Chiropractor
  • Vancouver, WA
National Provider Identifier
1861804783
Registry record updated May 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
CH.60462604 Issued in WA
Legal business name
ABSOLUTE HEALTH AND WELLNESS, LLC
Practice address
16703 SE McGillivray Blvd Ste 215
Vancouver, WA 98683-4301
Phone
(360) 883-2450
Fax
(866) 935-1910
NPI assigned
May 27, 2014
Last updated
May 27, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2014

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

Authorized official

Name
Dr. Alex Sandrow, DCNPI 1861715211
Title
Owner
Phone
(360) 883-2450

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X CH.60462604 WA Primary

Addresses

Primary practice location

16703 SE McGillivray Blvd Ste 215
Vancouver, WA 98683-4301

Mailing address

16703 SE McGillivray Blvd Ste 215
Vancouver, WA 98683-4301
Phone (360) 883-2450

National Provider Directory

National Provider Directory

Locations

16703 SE McGillivray Blvd
Ste 215
Vancouver, WA 98683
Phone (360) 883-2450

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1401148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401148800000",
    "number": "1861804783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16703 SE MCGILLIVRAY BLVD STE 215",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986834301",
            "telephone_number": "360-883-2450",
            "fax_number": "866-935-1910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16703 SE MCGILLIVRAY BLVD STE 215",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986834301",
            "telephone_number": "360-883-2450",
            "fax_number": "866-935-1910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABSOLUTE HEALTH AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-27",
        "last_updated": "2014-05-27",
        "status": "A",
        "authorized_official_last_name": "SANDROW",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-883-2450",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "WA",
            "license": "CH.60462604",
            "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 May 27, 2014; 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.