MR. NIKOLAY NIKOLAEVICH CHERNUKHIN JR. (NPI# 1235550856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235550856 |
| Entity Type | Individual |
| Full Name | MR. NIKOLAY NIKOLAEVICH CHERNUKHIN JR. |
| Credential | D.C. |
| Practice Address |
221-a Ne 104th Ave Suite 205 Vancouver WA 98664 |
| Practice Telephone | 3607379665 |
| Practice Fax Number | 3607379634 |
| Mailing Telephone | 3607379665 |
| Mailing Fax Number | 3607379634 |
| Enumeration Date | 2013-12-27 |
| Last Update Date | 2013-12-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH60421741 | WA | Chiropractic Providers |
| Street Address |
221-A NE 104TH AVE SUITE 205 |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98664 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285249938 | Angelica Maria Parle-fresquez | Speech-Language Pathologist | Early Childhood Assessment Center - Lieser School, 301 S. Lieser Rd, Vancouver, WA 98664 | 2020-09-10 |
| 1467923441 | Elizabeth Steen | Counselor | 230 E. State St., Mossyrock, WA 98664 | 2018-12-17 |
| 1497241657 | Chelsey Nicole Parker | Peer Specialist | 9815 Ne 3rd St, Vancouver, WA 98664 | 2018-07-10 |
| 1881145431 | Brent Homan | Occupational Therapist | 807 Se Morgan Rd., Vancouver, WA 98664 | 2016-10-19 |
| 1114474277 | Rebecca Marie Stefan | Nurse's Aide | 10025 Ne 19th St, Vancouver, WA 98664 | 2016-09-07 |
| 1528454105 | Alicia Ford | Dietitian, Registered | 700 Ne 87th Ave Ste 280, Vancouver, WA 98664 | 2015-04-10 |
| 1033504261 | Reid Roberts Bennett | Anesthesiology | 505 Ne 87th Ave Ste 210, Vancouver, WA 98664 | 2015-04-03 |
| 1013278712 | Serena Harker | Physical Therapy Assistant | 221a Ne 104th Ave, Suite #205, Vancouver, WA 98664 | 2012-05-30 |
| 1295091080 | Rebeca C Johnson | Massage Therapist | 11015 Ne 4th Plain Suite B, Vancouver, WA 98664 | 2012-04-05 |
| 1669746780 | Iheke O Ekeya | Pharmacist | Peacehealth Sw Medical Center, 400 Ne Mother Joseph Pl, Vancouver, WA 98664 | 2012-03-07 |
| Find all providers in zip 98664 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528675527 | Joseph Gonzalez | Chiropractor | 1218 Ne 88th St Ste 108, Vancouver, WA 98665-9696 | 2020-09-24 |
| 1992328637 | Michael Cam Hung Cheung | Chiropractor | 305 Se Chkalov Dr Ste 160, Vancouver, WA 98683-5291 | 2020-05-27 |
| 1013554856 | Mobile Chiropractic North West, Inc. | Chiropractor | 9403 Ne 116th Ave, Vancouver, WA 98662-2338 | 2019-11-27 |
| 1306489356 | Carina Staab | Chiropractor | 5419 Ne 52nd St, Vancouver, WA 98661-7838 | 2019-10-22 |
| 1962053512 | Theodore Pagel | Chiropractor | 1307 Ne 78th St Ste B-13, Vancouver, WA 98665-9672 | 2019-09-25 |
| 1942866769 | Raemaris Glenn | Chiropractor | 5101 Ne 48th St, Vancouver, WA 98661-2844 | 2019-05-16 |
| 1467919431 | Sherry Wang Leavitt | Chiropractor | 11015 Ne Fourth Plain Blvd Ste B, Vancouver, WA 98662-6314 | 2019-02-26 |
| 1639636822 | Hansen Chiropractic | Chiropractor | 7620 Ne 119th Pl Ste 100, Vancouver, WA 98682-4170 | 2019-02-25 |
| 1487151650 | Scott Edward Gross | Chiropractor | 9807 Ne 75th Cir, Vancouver, WA 98662-4643 | 2018-04-12 |
| 1477055366 | Jordan A Smith | Chiropractor | 7604 Ne 5th Ave Ste 109, Vancouver, WA 98665-8200 | 2018-03-06 |
| Find all providers in VANCOUVER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.