Provider Demographics
NPI:1427004480
Name:LEMBKE, SCOTT D (DC)
Entity Type:Individual
Prefix:
First Name:SCOTT
Middle Name:D
Last Name:LEMBKE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11015 NE FOURTH PLAIN
Mailing Address - Street 2:SUITE B
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98662
Mailing Address - Country:US
Mailing Address - Phone:360-892-0451
Mailing Address - Fax:360-892-1601
Practice Address - Street 1:11015 NE FOURTH PLAIN
Practice Address - Street 2:SUITE B
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98662
Practice Address - Country:US
Practice Address - Phone:360-892-0451
Practice Address - Fax:360-892-1601
Is Sole Proprietor?:No
Enumeration Date:2006-05-25
Last Update Date:2008-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA2025111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
T02584Medicare UPIN