Provider Demographics
NPI:1114065729
Name:CHANDLER, JANELL S (DC)
Entity Type:Individual
Prefix:DR
First Name:JANELL
Middle Name:S
Last Name:CHANDLER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7809 NE 94TH AVE
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98662-2946
Mailing Address - Country:US
Mailing Address - Phone:360-606-2502
Mailing Address - Fax:
Practice Address - Street 1:7809 NE 94TH AVE
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98662-2946
Practice Address - Country:US
Practice Address - Phone:360-944-1800
Practice Address - Fax:360-944-1807
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00034459111N00000X
OR27 3542111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor