Graduated: 2019
NPI: 1679128169
Practice Locations (2)
THE VANCOUVER CLINIC INC PS
14019 NE 10TH AVE, SUITE 620
VANCOUVER, WA 986851833
3603973352
PROFESSIONAL SPORTSCARE AND REHAB OF WEST VIRGINIA LLC
34 W VIRGINIA WAY, SUITE 1
RANSON, WV 254384882
3047289090
Source: CMS National Downloadable File, September 2026.