Provider Demographics
NPI:1619295524
Name:NW INJURY & REHAB CENTER, P.S.
Entity Type:Organization
Organization Name:NW INJURY & REHAB CENTER, P.S.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:STREHLOW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-624-7690
Mailing Address - Street 1:1804 S 24TH PL
Mailing Address - Street 2:
Mailing Address - City:RIDGEFIELD
Mailing Address - State:WA
Mailing Address - Zip Code:98642-9287
Mailing Address - Country:US
Mailing Address - Phone:360-624-7690
Mailing Address - Fax:360-571-0143
Practice Address - Street 1:1307 NE 78TH ST
Practice Address - Street 2:SUITE 3
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98665-9670
Practice Address - Country:US
Practice Address - Phone:360-573-1933
Practice Address - Fax:360-571-0143
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-17
Last Update Date:2010-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00003428111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Multi-Specialty