Provider Demographics
NPI:1982829164
Name:OWENS, ADRIENNE KAY (DC)
Entity Type:Individual
Prefix:MRS
First Name:ADRIENNE
Middle Name:KAY
Last Name:OWENS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3100 SE 168TH AVE APT 39
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98683-2105
Mailing Address - Country:US
Mailing Address - Phone:503-544-8452
Mailing Address - Fax:
Practice Address - Street 1:3100 SE 168TH AVE APT 39
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98683-2105
Practice Address - Country:US
Practice Address - Phone:503-544-8452
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00034757111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor