Victory Spine and Sport PLLC
Victory Spine and Sport PLLC is a Clinic/Center in Vancouver, Washington. Registered with an NPI since 2020.
- In the registry since
- 2020
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
16508 SE 24th St Ste 203Vancouver, WA 98683-4321
Phone: (360) 818-4626
Fax: (360) 208-0293
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinic/Center (primary) | Taxonomy 261Q00000X |
|---|
Record details
| NPI number | 1780285510 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Dustin Henry — Owner · (360) 818-4626 |
| Other names | Victory Spine And Sport; Victory Spine And Sport |
| NPI enumerated | November 6, 2020 |
| Last updated in NPPES | December 2, 2021 |
| Certification date | December 2, 2021 |
| Mailing address | 16508 Se 24th St Ste 203, Vancouver, WA 98683-4321 |
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