Provider Demographics
NPI:1184797094
Name:PASA, CURTIS (DC)
Entity type:Individual
Prefix:DR
First Name:CURTIS
Middle Name:
Last Name:PASA
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 1:855 NW 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:CAMAS
Mailing Address - State:WA
Mailing Address - Zip Code:98607-2720
Mailing Address - Country:US
Mailing Address - Phone:360-833-1222
Mailing Address - Fax:360-833-2611
Practice Address - Street 1:855 NW 6TH AVE
Practice Address - Street 2:
Practice Address - City:CAMAS
Practice Address - State:WA
Practice Address - Zip Code:98607-2720
Practice Address - Country:US
Practice Address - Phone:360-833-1222
Practice Address - Fax:360-833-2611
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00003535111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAAB05395Medicare ID - Type Unspecified