PROACTIVE CARE CHIROPRACTIC


Address: 808 Se Chkalov Dr., Suite 1, Vancouver, WA 86383
Phone: 3602540616

PROACTIVE CARE CHIROPRACTIC (NPI# 1366616922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366616922
Entity Type Organization
Organization Name PROACTIVE CARE CHIROPRACTIC
Practice Address 808 Se Chkalov Dr.
Suite 1
Vancouver
WA 86383
Mailing Address 808 Se Chkalov Dr.
Suite 1
Vancouver
WA 98683
Practice Telephone 3602540616
Practice Fax Number 3602540618
Mailing Telephone 3602540616
Mailing Fax Number 3602540618
Enumeration Date 2008-04-15
Last Update Date 2014-06-27
Authorized Official Name DR. JEFFREY RYAN SEALE (CHIROPRACTOR/OWNER)
Authorized Official Telephone 3602540616
Authorized Official Credential DC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QH0100X Clinic/Center
Specialization: Health Service
CH00034699 WA Ambulatory Health Care Facilities

Other Data Sources

Entity Type Entity Name Entity Address
Washington State Corporations PROACTIVE CARE CHIROPRACTIC INC 808 Se Chkalov Dr Ste 1, Vancouver, WA 98683-5275

Office Location

Street Address 808 SE CHKALOV DR.
SUITE 1
City VANCOUVER
State WA
Zip Code 86383

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1184223661 Marisol Wilson Interpreter 703 W Fourth Plain Blvd, Vancouver, WA 98660-2014 2020-10-26
1154920007 Gabriela Garcia Interpreter 5500 Ne Fourth Plain Blvd Apt 179, Vancouver, WA 98661-6853 2020-10-21
1629677000 Tracy Lynnette Valentine Doula 5717 Ne 135th Ave, Vancouver, WA 98682-5974 2020-10-18
1508463878 Andrew Accornero Counselor 108 Se 124th Ave Ste 17, Vancouver, WA 98684-6015 2020-10-08
1316544711 Rachel Skiles Registered Nurse 11328 Ne 51st Cir Apt J96, Vancouver, WA 98682-1209 2020-10-08
1376140418 Lana Michelle Ferris Naturopath 1404 Ne 134th St Ste 180c, Vancouver, WA 98685-2799 2020-10-01
1629685466 Jazmin Keymolen Behavioral Analyst 9901 Ne 7th Ave Unit C-16, Vancouver, WA 98685-4523 2020-09-25
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Taxonomy Information

Taxonomy Code 261QH0100X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Health Service

Taxonomy Definition

Definition to come...
Notes: [7/1/2006: modified title]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497270151 180 Bodyworks LLC Clinic/Center 4001 Main St Ste 216, Vancouver, WA 98663-1888 2017-08-03
1205283413 Nw Lifestyle Massage & Reiki Clinic/Center 1104 Main St Ste G50, Vancouver, WA 98660-2976 2016-05-17
1619279197 Vancouver Spinal Care Clinic/Center 1610 C St Ste 103, Vancouver, WA 98663-3400 2010-12-03
1962915389 Baby Nest LLC Clinic/Center 132 W 23rd St, Vancouver, WA 98660-2621 2017-11-07
1972962165 Cowlitz Indian Tribe Clinic/Center 7700 Ne 26th Ave, Vancouver, WA 98665-0672 2016-02-16
1790153138 Vancouver Wellness Clinic, LLC Clinic/Center 304 E 37th St, Vancouver, WA 98663-2212 2015-09-02
1982080511 Enrique Juarez Clinic/Center 6307 Ne 117th Ave Ste C, Vancouver, WA 98662-5500 2015-08-05
1649535683 Full Potential Occupational Therapy Pllc Clinic/Center 410 E 20th St, Vancouver, WA 98663-3316 2012-07-05
1588802656 Hazel Dell Therapeutic Massage Clinic/Center 6202 Ne Highway 99 Ste 4, Vancouver, WA 98665-8747 2009-01-28
1083875009 Sea-mar Community Health Center Clinic/Center 7410 Delaware Ln, Vancouver, WA 98664-1408 2008-06-23
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Competitor

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City VANCOUVER
Zip Code 86383

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Dataset Information

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.

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