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Hazel Dell Sports Medicine & Rehab Clinic Pllc
Family Medicine Physician in Vancouver, Washington
NPI 1902930076

Hazel Dell Sports Medicine & Rehab Clinic Pllc is a Family Medicine Physician based in Vancouver, WA. Hazel Dell Sports Medicine & Rehab Clinic Pllc practices in Vancouver, WA. The NPI Number for Hazel Dell Sports Medicine & Rehab Clinic Pllc is 1902930076 and holds a License No. (Washington).

The current practice location address for Hazel Dell Sports Medicine & Rehab Clinic Pllc is 300 Grand Blvd, Vancouver, WA and can be reached out via phone at 360-573-5500 and via fax at 360-573-9075.

Location: 300 Grand Blvd, Vancouver, WA, 98661-4930
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1902930076
Provider Name
Hazel Dell Sports Medicine & Rehab Clinic Pllc
Credential
Provider Entity Type
Organization
Address
300 Grand Blvd, Vancouver, WA, 98661-4930
Phone Number
360-573-5500
Fax Number
360-573-9075
Provider Enumeration Date
03/14/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0154878 01 WA DEPARTMENT OF LABOR & IND
institution
Provider Business Practice Location Address Details
Address
300 Grand Blvd
City
Vancouver
State
Washington
Zip
98661-4930
Phone Number
360-573-5500
Fax Number
360-573-9075
person
Provider Business Mailing Address Details
Address
300 Grand Blvd
City
Vancouver
State
Washington
Zip
98661-4930
Phone Number
360-573-5500
Fax Number
360-573-9075
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
MD00010276 (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.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
(Washington)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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