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Active NPI 1174712095 Organization (Entity Type 2)

Pullman Chiropractic Clinic, Pllc

Clinic/Center • Pullman, WA

About Pullman Chiropractic Clinic, Pllc NPI 1174712095 Summary

Pullman Chiropractic Clinic, Pllc is a verified healthcare organization specializing in Clinic/Center operating in Pullman, WA. Located at 1125 NW NYE ST, SUITE C, this facility provides patient care and medical services under National Provider Identifier (NPI) 1174712095.

Administrative operations and authorized compliance are overseen by Chris Volk (Office Manager).

The facility is associated with 2 linked healthcare practitioners providing clinical services.

Facility Location & Contact Primary Location

Facility Address

1125 Nw Nye St
Suite C

Pullman, WA 991633430

Telephone 5093322225
Fax 5093322228

Authorized Official Information

Authorized Contact Name

MR. Chris Volk

Title / Role

Office Manager

Official Telephone

5093322225

Facility Classifications & Specialties

Clinic/Center Primary Taxonomy

NUCC Taxonomy Code: 261Q00000X

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

2 Linked
Travis Mcgoff , LMP NPI 1215217047

Massage Therapist

Pullman, WA

View Practitioner Profile →
Dr. Michael Stallcop , DC NPI 1679557698

Chiropractor

Pullman, WA

View Practitioner Profile →

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
✅
NPI Profile Active August 22, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location August 22, 2013

Registered at 1125 NW NYE ST, SUITE C, PULLMAN, WA 991633430 (Tel: 5093322225)

📍
Updated Business Mailing Address August 22, 2013

Registered at 1125 NW NYE ST, SUITE C, PULLMAN, WA 991633430 (Tel: 5093322225)

🏛️
Organization / Clinic Name Updated August 22, 2013

Operating as PULLMAN CHIROPRACTIC CLINIC, PLLC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 22, 2013

Clinic/Center (License #CH00033991 in WA)

🟢
Initial NPI Registration & Enumeration October 16, 2007

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

Verified patient ratings, healthcare experiences, and facility photos

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NPI Organization Metadata

NPI Number: 1174712095
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: October 16, 2007
Last Update: August 22, 2013
Update or Correct Listing

Mailing Address

1125 Nw Nye St, Suite C

Pullman, WA 991633430

Phone: 5093322225

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.