Provider Demographics
NPI:1114482023
Name:TIMMS FAMILY CHIROPRACTIC, PLLC
Entity Type:Organization
Organization Name:TIMMS FAMILY CHIROPRACTIC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:R
Authorized Official - Last Name:TIMMS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:360-574-6594
Mailing Address - Street 1:1412 NE 134TH ST STE 100
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98685-2720
Mailing Address - Country:US
Mailing Address - Phone:360-574-6594
Mailing Address - Fax:360-574-2235
Practice Address - Street 1:1412 NE 134TH ST STE 100
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98685-2720
Practice Address - Country:US
Practice Address - Phone:360-574-6594
Practice Address - Fax:360-574-2235
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-05
Last Update Date:2019-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty