Provider Demographics
NPI:1841451945
Name:WERWINSKI, GINGER L (DC)
Entity type:Individual
Prefix:
First Name:GINGER
Middle Name:L
Last Name:WERWINSKI
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 1:100 E 13TH ST STE 111
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98660-3329
Mailing Address - Country:US
Mailing Address - Phone:360-487-0148
Mailing Address - Fax:
Practice Address - Street 1:100 E 13TH ST STE 111
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98660-3329
Practice Address - Country:US
Practice Address - Phone:360-487-0148
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-20
Last Update Date:2019-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00034783111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor