Clearwater Escape

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

CLEARWATER ESCAPE

Practice address

118 South Parkway Ave # 215
Battle Ground, WA 98604

Phone

(360) 606-1694

NPI assigned

Jun 23, 2014

Organization subpart

No

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

Authorized official

Name

Kristen Clearwater

Title

LMP

Phone

(360) 606-1694

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403481600000",
    "number": "1922413632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1454",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "98604",
            "telephone_number": "360-606-1694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 SOUTH PARKWAY AVE # 215",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "98604",
            "telephone_number": "360-606-1694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEARWATER ESCAPE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-23",
        "last_updated": "2014-06-23",
        "status": "A",
        "authorized_official_last_name": "CLEARWATER",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "LMP",
        "authorized_official_telephone_number": "360-606-1694"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chiro One Wellness Center of Battle Ground PLLC
• Michael Justin Chylack
• Todd J. Cichosz, PA-C
• Joncy Renee Clark
• Clear Choice Chiropractic PC, Inc.
• Alexis Clever, LMP
• Amber Leigh Cochenour, LMP
• Eitan Codish
• Jennifer L Colbert, L.M.P.
• Sara C Cole, LMP

• All providers in Battle Ground, WA
• Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.