Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Country Chiropractic Clinic, PLLC

Organization Chiropractor · NPI 1184757981

Country Chiropractic Clinic, PLLC is a Chiropractor in Mount Vernon, Washington. Licensed in Washington. Registered with an NPI since 2007.

Licensed in
WA
In the registry since
2007
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

22790 Buchanan St
Mount Vernon, WA 98273-8023
Phone: (360) 856-5562
Fax: (360) 856-4923
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 1315 (WA)

Record details

NPI number1184757981
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Avery Martin — Owner · (360) 856-5562
NPI enumeratedMarch 13, 2007
Last updated in NPPESMay 22, 2008
Mailing addressPo Box 508, Clearlake, WA 98235-0508

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