Chiropractic And Massage Near Me
Chiropractor in Vancouver, WA. Organization (NPI-2).
Details
- NPI
- 1275257560
- Entity type
- Organization (NPI-2)
- Legal business name
- Chiropractic And Massage Near Me
- Organization subpart
- No
- Enumeration date
- Sep 29, 2022
- Certification date
- Sep 1, 2026
- Last updated
- Sep 1, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | – | – | Yes |
Practice location
4201 Ne 66th Ave Ste 102Vancouver, WA 98661-3078
Phone 360-798-4543 · Fax 360-314-4797
Mailing address
4201 Ne 66th Ave Ste 102Vancouver, WA 98661-3078
Phone 360-798-4543 · Fax 360-314-4797
Other practice locations
Gresham, OR 97030-3739
Phone 360-798-4543 · Fax 360-314-4797
Authorized official
Nikolay Chernukhin
Owner
3607984543
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 314 Chiropractor providers in Vancouver · All 12,887 providers in Vancouver
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