Provider Demographics
NPI:1700843828
Name:AITCHISON, RONALD (DC)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:
Last Name:AITCHISON
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 1:311 W EVERGREEN BLVD
Mailing Address - Street 2:STE. 100
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98660-3371
Mailing Address - Country:US
Mailing Address - Phone:360-694-2225
Mailing Address - Fax:
Practice Address - Street 1:311 W EVERGREEN BLVD
Practice Address - Street 2:STE. 100
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98660-3371
Practice Address - Country:US
Practice Address - Phone:360-694-2225
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-01
Last Update Date:2008-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00034083111N00000X
OR27 3321111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor