Provider Demographics
NPI:1184188351
Name:SNOW, NICOLE LEE VALIO (DC)
Entity Type:Individual
Prefix:DR
First Name:NICOLE
Middle Name:LEE VALIO
Last Name:SNOW
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:NICOLE
Other - Middle Name:LEE
Other - Last Name:VALIO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:2411 NW 116TH ST
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98685-4409
Mailing Address - Country:US
Mailing Address - Phone:360-450-1331
Mailing Address - Fax:833-901-2951
Practice Address - Street 1:3305 MAIN ST STE 203
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98663-2250
Practice Address - Country:US
Practice Address - Phone:360-450-1331
Practice Address - Fax:833-901-2951
Is Sole Proprietor?:No
Enumeration Date:2019-01-22
Last Update Date:2022-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR5969111N00000X
WA60916864111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
1184188351OtherCHIROPRACTIC