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

Hazel Dell Sports Medicine & Rehab Clinic PLLC

Organization Chiropractor · NPI 1902930076

Hazel Dell Sports Medicine & Rehab Clinic PLLC is a Chiropractor in Vancouver, Washington. Licensed in Washington. Registered with an NPI since 2007.

Licensed in
WA
In the registry since
2007
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

300 Grand Blvd Ste B200
Vancouver, WA 98661-4930
Phone: (360) 573-5500
Fax: (360) 573-9075
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X (WA)
Family Medicine Physician Taxonomy 207Q00000X · Licence MD00010276 (WA)

Record details

NPI number1902930076
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Douglas Forgey — Owner · (360) 573-5500
Other names Forgey Sportsmed & Rehab Clinic
NPI enumeratedMarch 14, 2007
Last updated in NPPESJune 8, 2016
Mailing address300 Grand Blvd, Ste B200, Vancouver, WA 98661-4930

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