Provider Demographics
NPI:1356457592
Name:BESS, CHRISTOPHER ROBERT (DC)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:ROBERT
Last Name:BESS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:WALLA
Other - Middle Name:WALLA
Other - Last Name:CHIROPRACTIC
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:120 E BIRCH ST STE 1
Mailing Address - Street 2:
Mailing Address - City:WALLA WALLA
Mailing Address - State:WA
Mailing Address - Zip Code:99362-3054
Mailing Address - Country:US
Mailing Address - Phone:509-522-2202
Mailing Address - Fax:509-527-4446
Practice Address - Street 1:120 E BIRCH ST STE 1
Practice Address - Street 2:
Practice Address - City:WALLA WALLA
Practice Address - State:WA
Practice Address - Zip Code:99362-3054
Practice Address - Country:US
Practice Address - Phone:509-522-2202
Practice Address - Fax:509-527-4446
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00034403111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor