Provider Demographics
NPI:1306084579
Name:DOHRMANN FAMILY CHIROPRACTIC, INC., PS
Entity type:Organization
Organization Name:DOHRMANN FAMILY CHIROPRACTIC, INC., PS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:
Authorized Official - First Name:CYRUS
Authorized Official - Middle Name:
Authorized Official - Last Name:DOHRMANN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:360-532-3200
Mailing Address - Street 1:14 S SUNRISE DR
Mailing Address - Street 2:
Mailing Address - City:MONTESANO
Mailing Address - State:WA
Mailing Address - Zip Code:98563-9652
Mailing Address - Country:US
Mailing Address - Phone:360-532-3200
Mailing Address - Fax:360-532-5400
Practice Address - Street 1:2321 SIMPSON AVE
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:WA
Practice Address - Zip Code:98520-3515
Practice Address - Country:US
Practice Address - Phone:360-532-3200
Practice Address - Fax:360-532-5400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-27
Last Update Date:2009-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00034478111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty