REVIVE CHIROPRACTIC AND WELLNESS CENTER PLLC NPI 1104650316

NPI Information

  • NPI: 1104650316
  • Provider Name: REVIVE CHIROPRACTIC AND WELLNESS CENTER PLLC
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Doing Business As: REVIVE CHIROPRACTIC AND WELLNESS
  • Address: 6923 NW FRIBERG STRUNK ST STE 135
    CAMAS, WA
    ZIP 98607
  • Phone: (360) 953-3567

Map and Directions

Get Directions

NPI Details

REVIVE CHIROPRACTIC AND WELLNESS CENTER PLLC is a chiropractor in Camas, WA. The provider is 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. REVIVE CHIROPRACTIC AND WELLNESS CENTER PLLC NPI is 1104650316. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Revive Chiropractic And Wellness.

The provider's business location address is:

6923 NW FRIBERG STRUNK ST STE 135
CAMAS, WA
ZIP 98607-796
Phone: (360) 953-3567

The provider's authorized official is Elizabeth Anne Vader .
The authorized official title is Chiropractor and has the following contact phone number (360) 953-3567.

The enumeration date for this NPI number is 8/29/2024 and was last updated on 9/18/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractorYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.