Provider Demographics
NPI:1407148653
Name:ABSOLUTE HEALTH & WELLNESS
Entity Type:Organization
Organization Name:ABSOLUTE HEALTH & WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEX
Authorized Official - Middle Name:BRIAN
Authorized Official - Last Name:SANDROW
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:360-883-2450
Mailing Address - Street 1:16703 SE MCGILLIVRAY BLVD
Mailing Address - Street 2:SUITE 215
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98683-4300
Mailing Address - Country:US
Mailing Address - Phone:360-883-2450
Mailing Address - Fax:866-935-1910
Practice Address - Street 1:16703 SE MCGILLIVRAY BLVD
Practice Address - Street 2:SUITE 215
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98683-4300
Practice Address - Country:US
Practice Address - Phone:360-883-2450
Practice Address - Fax:866-935-1910
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-06
Last Update Date:2016-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH 60189008261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty