Provider Demographics
NPI:1467643882
Name:MACKLER, JAYMIE FELICE (ND, LAC)
Entity Type:Individual
Prefix:DR
First Name:JAYMIE
Middle Name:FELICE
Last Name:MACKLER
Suffix:
Gender:F
Credentials:ND, LAC
Other - Prefix:
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Other - Middle Name:
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Mailing Address - Street 1:2114 MAIN STREET
Mailing Address - Street 2:#100, BOX 234
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98660
Mailing Address - Country:US
Mailing Address - Phone:360-326-6336
Mailing Address - Fax:844-965-9804
Practice Address - Street 1:612 E 17TH ST
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98663-3428
Practice Address - Country:US
Practice Address - Phone:360-326-6336
Practice Address - Fax:844-965-9804
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-09
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT00001411175F00000X
WAAC00002759171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No175F00000XOther Service ProvidersNaturopath