Provider Demographics
NPI:1013966167
Name:WEST, MEED A (DC, ND)
Entity Type:Individual
Prefix:DR
First Name:MEED
Middle Name:A
Last Name:WEST
Suffix:
Gender:M
Credentials:DC, ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11800 NW 21ST AVE
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98685-3784
Mailing Address - Country:US
Mailing Address - Phone:360-574-1557
Mailing Address - Fax:
Practice Address - Street 1:1612 NE 78TH ST
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98665-9635
Practice Address - Country:US
Practice Address - Phone:360-573-3223
Practice Address - Fax:360-573-3224
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00001155111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor