Provider Demographics
NPI:1942482518
Name:TERRI J DRURY PC
Entity Type:Organization
Organization Name:TERRI J DRURY PC
Other - Org Name:ELM VIEW CHIROPRACTIC CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TERRI
Authorized Official - Middle Name:J
Authorized Official - Last Name:DRURY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:509-758-0660
Mailing Address - Street 1:1303 6TH ST
Mailing Address - Street 2:
Mailing Address - City:CLARKSTON
Mailing Address - State:WA
Mailing Address - Zip Code:99403-3317
Mailing Address - Country:US
Mailing Address - Phone:509-758-0660
Mailing Address - Fax:509-751-9214
Practice Address - Street 1:1303 6TH ST
Practice Address - Street 2:
Practice Address - City:CLARKSTON
Practice Address - State:WA
Practice Address - Zip Code:99403-3317
Practice Address - Country:US
Practice Address - Phone:509-758-0660
Practice Address - Fax:509-751-9214
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-05
Last Update Date:2013-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA2693111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2016624Medicaid
WAU32364Medicare UPIN
WAG8806179Medicare PIN