Provider Demographics
NPI:1073559613
Name:POWERS CHIROPRACTIC & REHABILITATION CLINICS, PLLC
Entity Type:Organization
Organization Name:POWERS CHIROPRACTIC & REHABILITATION CLINICS, PLLC
Other - Org Name:ORCHARDS PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/
Authorized Official - Prefix:DR
Authorized Official - First Name:DALE
Authorized Official - Middle Name:W
Authorized Official - Last Name:POWERS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:360-253-6883
Mailing Address - Street 1:11802 NE 65TH ST
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98662-5552
Mailing Address - Country:US
Mailing Address - Phone:360-253-6883
Mailing Address - Fax:360-892-7040
Practice Address - Street 1:11802 NE 65TH ST
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98662-5552
Practice Address - Country:US
Practice Address - Phone:360-253-6883
Practice Address - Fax:360-892-7040
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT00007335225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty