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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

NPI # 1114168002
LBN Legal business name CHARLES C DWYER DC PC
Authorized official JODI DWYER - (VP)
Entity Organization
Organization subpart 1 No
Enumeration date 03/23/2009
Last updated 02/13/2024 - About 2 years ago
Identifiers
WA License # 602884351
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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