Provider Demographics
NPI:1386489037
Name:PURE WELLNESS CHIROPRACTIC WASHOUGAL
Entity type:Organization
Organization Name:PURE WELLNESS CHIROPRACTIC WASHOUGAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RUJARD
Authorized Official - Middle Name:ATOM
Authorized Official - Last Name:THURMER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:320-334-4045
Mailing Address - Street 1:4213 NE 152ND AVE
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98682-7000
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3307 EVERGREEN WAY STE 601
Practice Address - Street 2:
Practice Address - City:WASHOUGAL
Practice Address - State:WA
Practice Address - Zip Code:98671-2062
Practice Address - Country:US
Practice Address - Phone:360-835-9911
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-26
Last Update Date:2024-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty