Provider Demographics
NPI:1295037596
Name:URGENT CHIROPRACTIC
Entity Type:Organization
Organization Name:URGENT CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:KIM
Authorized Official - Middle Name:D
Authorized Official - Last Name:CHRISTENSEN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:360-448-6353
Mailing Address - Street 1:11820 NE CRESTWOOD ST
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98684-5102
Mailing Address - Country:US
Mailing Address - Phone:360-448-6353
Mailing Address - Fax:240-371-7188
Practice Address - Street 1:11820 NE CRESTWOOD ST
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98684-5102
Practice Address - Country:US
Practice Address - Phone:360-448-6353
Practice Address - Fax:240-371-7188
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CONTEMPORARY CHIROPRACTIC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-11-19
Last Update Date:2014-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty