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Contact Information

WASHOUGAL SPORT AND SPINE, INC.
1700 MAIN
SUITE 222
WASHOUGAL, WA98671
 Phone: 360-904-9698
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy

261QP2000X
Indicates primary specialty

NPI Profile & details for WASHOUGAL SPORT AND SPINE, INC.

NPI Number 1871743526
LBN Legal business name WASHOUGAL SPORT AND SPINE, INC.
Authorized official STEPHEN MCCARTHY - (PRESIDENT/OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/30/2008
Last updated 09/30/2008 - About 18 years ago
Identifiers
WA License # PT00009023
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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