Forgey Sportsmed & Rehab Clinic
LBN: Hazel Dell Sports Medicine & Rehab Clinic Pllc
Forgey Sportsmed & Rehab Clinic is an health care organization with primary practice located at 300 Grand Blvd Ste B200, Vancouver WA 98661-4930. The organization recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Allopathic & Osteopathic Physicians / Family Medicine. Chiropractic Providers / Chiropractor is the primary health care specialty.
Hazel Dell Sports Medicine & Rehab Clinic Pllc can be contacted via phone (360) 573-5500, or through Forgey, Douglas Lee via phone (360) 573-5500.
Contact Information
Primary practice address
300 Grand Blvd Ste B200
Vancouver WA 98661-4930
Phone: (360) 573-5500
Fax: (360) 573-9075
Website:
Authorized official contact:
Name: Forgey, Douglas Lee Doctor of Chiropractic (DC)
Phone: (360) 573-5500
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | Washington | |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD00010276 | Washington |
Profile Details
| NPI number | 1902930076 |
|---|---|
| LBN Legal business name | Hazel Dell Sports Medicine & Rehab Clinic Pllc |
| DBA Doing business as | Forgey Sportsmed & Rehab Clinic |
| Authorized official | Forgey, Douglas Lee Doctor of Chiropractic (DC) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 14th, 2007 |
| Last updated | Jun 8th, 2016 - about 8 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902930076 | NPPES |
| Washington | Other | 0154878 | DEPARTMENT OF LABOR & IND |
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