Doctor Name: | MR. WILLIAM R MACKENZIE |
NPI Number: | 1457356404 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | CH00034484 |
Business Practice Address: | 11802 Ne 65th St 100 Vancouver, WA - 986625521 |
Business Phone Number: | 3602536883 |
Business Fax Number: | 3608927040 |
Mailing Address: | 11802 Ne 65th St, 100 VANCOUVER |
State: | WA |
Postal Code: | 986625521 |
Phone Number: | 3602536883 |
Fax Number: | 3608927040 |
NPI Enumeration Date: | 06/16/2005 |
NPI Last Update Date: | 03/06/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | CH00034484 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WA |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |