Provider Demographics
NPI:1760895031
Name:STUMPF, NEAL (DC)
Entity Type:Individual
Prefix:
First Name:NEAL
Middle Name:
Last Name:STUMPF
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 1:905 SE 136TH AVE
Mailing Address - Street 2:APT V9
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98683-3526
Mailing Address - Country:US
Mailing Address - Phone:360-721-2698
Mailing Address - Fax:
Practice Address - Street 1:905 SE 136TH AVE
Practice Address - Street 2:APT V9
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98683-3526
Practice Address - Country:US
Practice Address - Phone:360-721-2698
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-04
Last Update Date:2019-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH60468027111N00000X
OR5564111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor