NPI 1003045832

Nicole Marie Granger, LMTLMP

Practitioner Chiropractor Vancouver, WA

Practice location

Address: 13712 NE 20th Ave, Vancouver, WA 98686-2698
Phone: (360) 574-5944
Mailing address: 9638 SW Larson Rd, Gaston, OR 97119-7721

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence 15945 (OR)

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Registry record

NPI: 1003045832
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Jul 2009
Record last updated: 12 Mar 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.