Individual provider · Type 1 NPI

Nicole Marie Granger, LMT, LMP

Chiropractor · Vancouver, WA

NPI number 1003045832 Active

Practice location

13712 NE 20th Ave
Vancouver, WA 98686-2698

Call (360) 574-5944 Map

Mailing address

9638 SW Larson Rd
Gaston, OR 97119-7721

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X15945 (OR)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1003045832

Nicole Marie Granger, LMT, LMP's National Provider Identifier is 1003045832, issued on Jul 14, 2009. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Vancouver, WA. The record was last updated on Mar 12, 2013.