Provider Demographics
NPI:1336947662
Name:RYBAR, ALEKSANDER PETER (DC)
Entity type:Individual
Prefix:
First Name:ALEKSANDER
Middle Name:PETER
Last Name:RYBAR
Suffix:
Gender:
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16516 SE MILL PLAIN BLVD APT 131
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98684-9605
Mailing Address - Country:US
Mailing Address - Phone:360-431-6327
Mailing Address - Fax:
Practice Address - Street 1:10303 NE FOURTH PLAIN BLVD STE 105
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98662-5807
Practice Address - Country:US
Practice Address - Phone:503-432-1061
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-04
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR6438111N00000X
WACH61641478111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor