HAZEL DELL SPORTS MEDICINE & REHAB CLINIC PLLC NPI 1902930076

NPI Information

HAZEL DELL SPORTS MEDICINE & REHAB CLINIC PLLC is a chiropractor in Vancouver, 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. HAZEL DELL SPORTS MEDICINE & REHAB CLINIC PLLC NPI is 1902930076. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Forgey Sportsmed & Rehab Clinic.

The provider's business location address is:

300 GRAND BLVD
STE B200
VANCOUVER, WA
ZIP 98661-930
Phone: (360) 573-5500
Fax: (360) 573-9075

The provider's authorized official is Douglas Lee Forgey .
The authorized official title is Owner and has the following contact phone number (360) 573-5500.

The enumeration date for this NPI number is 3/14/2007 and was last updated on 6/8/2016.

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:

Other Identifiers

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