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Dr. Jerry M Payne, DC
Chiropractor in Port Angeles, Washington
NPI 1114913613

Jerry M Payne is a Chiropractor based in Port Angeles, WA. Jerry M Payne practices in Port Angeles, WA and has the professional credentials of DC. The NPI Number for Jerry M Payne is 1114913613 and holds a License No. CH00003603 (Washington).

The current practice location address for Jerry M Payne is 1217 E 1St St, Port Angeles, WA and can be reached out via phone at 360-452-3017 and via fax at 360-452-4100.

Location: 1217 E 1St St, Port Angeles, WA, 98362-4301
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114913613
Provider Name
Jerry M Payne
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
1217 E 1St St, Port Angeles, WA, 98362-4301
Phone Number
360-452-3017
Fax Number
360-452-4100
Provider Enumeration Date
09/21/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2022861 05 WA
124952 01 WA L AND I
G8851006 01 WA MEDICARE GROUP PIN
institution
Provider Business Practice Location Address Details
Address
1217 E 1St St
City
Port Angeles
State
Washington
Zip
98362-4301
Phone Number
360-452-3017
Fax Number
360-452-4100
person
Provider Business Mailing Address Details
Address
1217 E 1St St
City
Port Angeles
State
Washington
Zip
98362-4301
Phone Number
360-452-3017
Fax Number
360-452-4100
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
CH00003603 (Washington)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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