Provider Demographics
NPI:1881001410
Name:GEHM, HALEY NICOLE (DC)
Entity Type:Individual
Prefix:DR
First Name:HALEY
Middle Name:NICOLE
Last Name:GEHM
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:HALEY
Other - Middle Name:NICOLE
Other - Last Name:ANDERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:5002 SW 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:CAMAS
Mailing Address - State:WA
Mailing Address - Zip Code:98607-2572
Mailing Address - Country:US
Mailing Address - Phone:360-518-6251
Mailing Address - Fax:360-991-0040
Practice Address - Street 1:410 E 20TH ST RM 9
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98663
Practice Address - Country:US
Practice Address - Phone:360-518-6251
Practice Address - Fax:360-991-0040
Is Sole Proprietor?:No
Enumeration Date:2014-07-15
Last Update Date:2019-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH60475667111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor