Provider Demographics
NPI:1740765056
Name:AMERICAN PROACTIVE CHIROPRACTIC REHABILITATION CLINIC
Entity type:Organization
Organization Name:AMERICAN PROACTIVE CHIROPRACTIC REHABILITATION CLINIC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SOLOMIYA
Authorized Official - Middle Name:
Authorized Official - Last Name:BACHINSKY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:503-339-7351
Mailing Address - Street 1:101 NW 12TH AVE STE 125
Mailing Address - Street 2:
Mailing Address - City:BATTLE GROUND
Mailing Address - State:WA
Mailing Address - Zip Code:98604-9145
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1640 LANCASTER DR NE
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97301-1922
Practice Address - Country:US
Practice Address - Phone:503-339-7351
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-02
Last Update Date:2020-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Multi-Specialty