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Contact Information

CHARLES C DWYER DC PC
919 HIGHLAND AVE
CLARKSTON, WA99403
 Phone: 509-758-9214
 Fax: 509-758-9267
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiology

111NR0200X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for CHARLES C DWYER DC PC · (Female)

NPI # 1114168002
Status Active
Credentials
Entity Individual
Enumeration date 03/23/2009
Last updated 02/13/2024 - About 2 years ago
Sole proprietor 1 Not specified
Identifiers
  • WA License # 602884351
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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