Provider Demographics
NPI:1144518309
Name:GOFF, ANDRIA LYN LOVE (D C)
Entity type:Individual
Prefix:DR
First Name:ANDRIA
Middle Name:LYN LOVE
Last Name:GOFF
Suffix:
Gender:F
Credentials:D C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 E 9TH ST
Mailing Address - Street 2:
Mailing Address - City:WENATCHEE
Mailing Address - State:WA
Mailing Address - Zip Code:98801-1505
Mailing Address - Country:US
Mailing Address - Phone:509-888-1099
Mailing Address - Fax:509-888-2068
Practice Address - Street 1:614 CANYON RD
Practice Address - Street 2:
Practice Address - City:TWISP
Practice Address - State:WA
Practice Address - Zip Code:98856
Practice Address - Country:US
Practice Address - Phone:509-997-7062
Practice Address - Fax:509-997-7022
Is Sole Proprietor?:No
Enumeration Date:2011-07-21
Last Update Date:2016-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH 60216583111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor