Provider Demographics
NPI:1487791612
Name:GUYTON, PERRY HAYWOOD III (DC)
Entity type:Individual
Prefix:DR
First Name:PERRY
Middle Name:HAYWOOD
Last Name:GUYTON
Suffix:III
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2816 SE 138TH LOOP
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98683-6612
Mailing Address - Country:US
Mailing Address - Phone:360-798-9883
Mailing Address - Fax:
Practice Address - Street 1:406 SE 131ST AVE STE 108
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98683-4031
Practice Address - Country:US
Practice Address - Phone:360-944-0050
Practice Address - Fax:360-885-1212
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-30
Last Update Date:2019-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00033848111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor