Provider Demographics
NPI:1851838668
Name:ELEY, CHRISTOPHER J
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:J
Last Name:ELEY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1307 NE 78TH ST # B-13
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98665-9672
Mailing Address - Country:US
Mailing Address - Phone:360-574-5136
Mailing Address - Fax:
Practice Address - Street 1:1307 NE 78TH ST # B-13
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98665-9672
Practice Address - Country:US
Practice Address - Phone:360-574-5136
Practice Address - Fax:360-574-5271
Is Sole Proprietor?:No
Enumeration Date:2017-01-31
Last Update Date:2023-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60726269111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor